Healthcare Provider Details

I. General information

NPI: 1174436679
Provider Name (Legal Business Name): PERRY PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 LOUCKS RD STE 31
YORK PA
17404-1740
US

IV. Provider business mailing address

3 BANEBERRY ST
STEWARTSTOWN PA
17363-8147
US

V. Phone/Fax

Practice location:
  • Phone: 410-322-6257
  • Fax:
Mailing address:
  • Phone: 410-322-6257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. SEAN MICHAEL PERRY
Title or Position: MANAGING MEMBER
Credential: DPT
Phone: 410-322-6257