SILVER FERN PRACTICE, LLC (NPI# 1699223404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699223404 |
| Entity Type | Organization |
| Organization Name | SILVER FERN PRACTICE, LLC |
| Other Organization Name | PERFORMANCE PHYSICAL THERAPY |
| Practice Address |
375 Wampanoag Trl Suite 403 Riverside RI 02915-2232 |
| Mailing Address |
4 Richmond Sq Suite 200 Providence RI 02906-5117 |
| Practice Telephone | 4012708770 |
| 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 |
| 1831647643 | Silver Fern Practice, LLC | Physical Therapist | 1401 Douglas Ave, North Providence, RI 02904-4058 | 2016-09-21 |
| 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 |
| 1508314329 | Silver Fern Practice, LLC | Physical Therapist | 73 Valley Rd, Middletown, RI 02842-5234 | 2016-09-21 |
| Street Address |
375 WAMPANOAG TRL SUITE 403 |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955071 | Marina F Rodriguez | Internal Medicine | 375 Wampanoag Trl, Suite 201, Riverside, RI 02915-2212 | 2005-07-08 |
| 1235789231 | Maxwell Hogue | Nurse Practitioner | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2019-09-12 |
| 1114574860 | Lindsey Harris | Physical Therapist | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2019-08-19 |
| 1447713680 | Kate M Guthrie | Psychologist | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2019-04-12 |
| 1386159069 | Aletheia Yuri Miyake Shen | Nurse Practitioner | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2017-12-04 |
| 1528433489 | Cerissa Blaney | Psychologist | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2015-12-03 |
| 1205231081 | Mary Whittenhall | Nurse Practitioner | 375 Wampanoag Trl, Suite 302b, Riverside, RI 02915-2232 | 2014-10-23 |
| 1649602863 | Amanda J. Fernandes | Internal Medicine | 375 Wampanoag Trl, Riverside, RI 02915 | 2013-07-30 |
| 1861749327 | Laura A. Massa | Nurse Practitioner | 375 Wampanoag Trl, Suite 202a, Riverside, RI 02915-2232 | 2012-08-14 |
| 1376821793 | Iva Neupane | Internal Medicine | 375 Wampanoag Trl, Suite 102, Riverside, RI 02915-2232 | 2011-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
| 1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
| 1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
| 1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
| 1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
| 1790078947 | Matthew Lynch | Internal Medicine | 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 | 2011-05-20 |
| 1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| Find all providers in zip 02915 | ||||
| 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 |
|---|---|---|---|---|
| 1902416019 | Rauni Shirley | Physical Therapist | 11555 Trailway Dr, Riverside, CA 92505-3473 | 2020-08-04 |
| 1053939835 | James L Miller | Physical Therapist | 6235 River Crest Dr Ste L, Riverside, CA 92507-0758 | 2020-07-08 |
| 1255803680 | Hillary Florence Gow-sujo | Physical Therapist | 3400 Central Ave Ste 145, Riverside, CA 92506-2161 | 2018-12-24 |
| 1487124095 | Christa Swenson | Physical Therapist | 6180 Brockton Ave Ste 101, Riverside, CA 92506-2259 | 2018-11-27 |
| 1285117218 | Ciara Jean Scott | Physical Therapist | 4200 Latham St Ste C1, Riverside, CA 92501-1780 | 2018-09-14 |
| 1689155939 | Kiri Ailene Krishingner | Physical Therapist | 4270 Riverwalk Pkwy Ste 114, Riverside, CA 92505-3374 | 2018-08-24 |
| 1215436944 | Justin Joseph Luna | Physical Therapist | 3421 Arlington Ave Ste 105, Riverside, CA 92506-3254 | 2018-02-08 |
| 1184130031 | Ryan Karrow | Physical Therapist | 920 Central Ave Unit 101, Riverside, CA 92507-0239 | 2017-12-14 |
| 1528578119 | Zachary Weijohn | Physical Therapist | 4085 Brockton Ave, Riverside, CA 92501-3440 | 2017-10-09 |
| 1881123180 | Lucas Mogensen | Physical Therapist | 1171 E Putnam Ave Bldg 22nd, Riverside, CT 06878-1426 | 2017-06-08 |
| Find all providers in RIVERSIDE | ||||
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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.