SILVER FERN PRACTICE, LLC (NPI# 1831647643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831647643 |
| Entity Type | Organization |
| Organization Name | SILVER FERN PRACTICE, LLC |
| Other Organization Name | PERFORMANCE PHYSICAL THERAPY |
| Practice Address |
1401 Douglas Ave North Providence RI 02904-4058 |
| Mailing Address |
4 Richmond Sq Suite 200 Providence RI 02906-5117 |
| Practice Telephone | 4014354540 |
| Practice Fax Number | 4014344521 |
| Mailing Telephone | 4014334172 |
| Mailing Fax Number | 4014330612 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2017-03-28 |
| Authorized Official Name | TRACY TRASKAUSKAS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4014334172 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Performance Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154976967 | Silver Fern Practice, LLC | Physical Therapist | 1314 Fall River Ave, Seekonk, MA 02771-5927 | 2019-08-08 |
| 1124515317 | Silver Fern Practice, LLC | Physical Therapist | 227 Centerville Rd Fl 2, Warwick, RI 02886-4394 | 2018-04-13 |
| 1912410101 | Silver Fern Practice, LLC | Physical Therapist | 12 Stilson Rd, Richmond, RI 02898-1026 | 2017-11-09 |
| 1851827026 | Silver Fern Practice, LLC | Physical Therapist | 400 Putnam Pike, Suite E, Smithfield, RI 02917-2408 | 2017-05-10 |
| 1821534736 | Silver Fern Practice, LLC | Physical Therapist | 1395 Commerce Way Unit 112, Attleboro, MA 02703 | 2017-01-17 |
| 1801347760 | Silver Fern Practice, LLC | Physical Therapist | 1235 Wampanoag Trl, Riverside, RI 02915-1231 | 2016-10-17 |
| 1255889077 | Silver Fern Practice, LLC | Physical Therapist | 5750 Post Rd, Suite 1a, East Greenwich, RI 02818-2139 | 2016-09-21 |
| 1265980080 | Silver Fern Practice, LLC | Physical Therapist | 49 Seekonk St, Providence, RI 02906-5176 | 2016-09-21 |
| 1699223404 | Silver Fern Practice, LLC | Physical Therapist | 375 Wampanoag Trl, Suite 403, Riverside, RI 02915-2232 | 2016-09-21 |
| 1508314329 | Silver Fern Practice, LLC | Physical Therapist | 73 Valley Rd, Middletown, RI 02842-5234 | 2016-09-21 |
| Street Address |
1401 DOUGLAS AVE |
| City | NORTH PROVIDENCE |
| State | RI |
| Zip Code | 02904-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780815530 | Rachel Beth Deblois | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904-4058 | 2009-07-28 |
| 1255946901 | Max Fokin | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904-4058 | 2020-09-10 |
| 1558854133 | Amanda Chirlin | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904 | 2018-06-08 |
| 1487190617 | Meghan Clark | Specialist/Technologist | 1401 Douglas Ave, North Providence, RI 02904-4058 | 2017-01-11 |
| 1871047621 | David Ornstein | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904 | 2016-08-10 |
| 1922455583 | Jarred Smith | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904-4058 | 2016-05-24 |
| 1780011056 | Bethany Carnevale | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904-4058 | 2013-10-02 |
| 1801228861 | Nadja C Goulart | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904-4058 | 2013-08-01 |
| 1518243120 | Melissa Robidoux | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904-4058 | 2011-10-26 |
| 1033497052 | Jennifer Teresa Scuncio | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904 | 2011-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538682166 | Kendra-lynn Elizabeth Kohanski | Physical Therapist | 1525 Smith St Ste 5, North Providence, RI 02911-2959 | 2017-07-25 |
| 1114371358 | Renew Physical Therapy & Wellness Studio | Physical Therapist | 1630 Mineral Spring Ave Ste 6-7, North Providence, RI 02904-4043 | 2016-04-13 |
| 1184005282 | Melissa Ricciotti | Physical Therapist | 1525 Smith Street #5, North Providence, RI 02911 | 2015-06-15 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1780815530 | Rachel Beth Deblois | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904-4058 | 2009-07-28 |
| 1023297827 | Rayne Gene Smyth | Physical Therapist | 7 Ivan St, North Providence, RI 02904-4808 | 2007-10-29 |
| 1639208762 | Franklin Cordero II | Physical Therapist | 95b Nipmuc Trl, North Providence, RI 02904-7752 | 2007-03-05 |
| 1205902228 | Milva Catallozzi | Physical Therapist | 1417 Douglas Avenue, North Providence, RI 02904-4057 | 2006-11-28 |
| 1154497451 | Susan M Almeida | Physical Therapist | 1920 Mineral Spring Ave, Suite 19, North Providence, RI 02904-3742 | 2006-11-28 |
| 1962587931 | Melissa A. Brunelle | Physical Therapist | 1822 Mineral Spring Ave, North Providence, RI 02904-8938 | 2006-10-26 |
| Find all providers in NORTH PROVIDENCE | ||||
| City | NORTH PROVIDENCE |
| Zip Code | 02904 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.