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

Individual provider Physical Therapist · NPI 1831443720

Andrew X Destefano, DPT is a Physical Therapist in Private Practice in Somerville, Massachusetts. Qualified in 2012, 14 years ago. Practices with Pinnacle Rehabilitation Network LLC, a 105-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
14
Licensed in
MA
In the registry since
2012
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

262 Willow Ave Apt 2
Somerville, MA 02144-2263
Phone: (617) 863-7003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30 Lancaster St, Boston, MA 02114-1704 — (617) 367-4700

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 20296 (MA)

Record details

NPI number1831443720
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedOctober 31, 2012
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Pinnacle Rehabilitation Network Llc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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