Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Perilli, PTDPT

Individual provider Physical Therapist · NPI 1790205995

Andrew Perilli, PTDPT is a Physical Therapist in Private Practice in Hamburg, New York. Qualified in 2017, 9 years ago. Practices with Perilli Physical Therapy PC, a 5-clinician group. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

4901 Camp Rd Ste 300
Hamburg, NY 14075-2625
Phone: (716) 646-1100
Fax: (716) 646-1106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 041912 (NY)

Record details

NPI number1790205995
Entity typeIndividual (Type 1)
GenderMale
Credentials PTDPT
Sole proprietorNo
NPI enumeratedJune 20, 2017
Last updated in NPPESMarch 1, 2021
Certification dateMarch 1, 2021
Mailing address43 E Depew Ave, Buffalo, NY 14214-1815

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Perilli Physical Therapy Pc — 5 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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