Individual provider Active NPI

Camden Marcotte, DPT

  • Physical Therapist
  • Riverside, RI
National Provider Identifier
1003395070
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT03765 Issued in RI
Practice address
375 Wampanoag TRL Ste 403
Riverside, RI 02915-2237
Phone
(401) 270-8770
NPI assigned
Aug 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23720 MA
Physical Therapist 225100000X PT03765 RI Primary

Addresses

Primary practice location

375 Wampanoag TRL Ste 403
Riverside, RI 02915-2237

Mailing address

4 Richmond SQ Ste 200
Providence, RI 02906-5117
Phone (401) 433-4172

Other practice location 1

2300 Crown Colony Dr Ste 102
Quincy, MA 02169-0902
Phone (781) 986-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180928001935 MA Practitioner - Physical Therapist in Private Practice 3779834841 Reassigns benefits to 2 organizations
I20231211002226 RI Practitioner - Physical Therapist in Private Practice 3779834841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Fern Practice LLCGroup PAC ID 1658266515, 297 clinicians

Practice addresses (Care Compare)

1395 Commerce Way
Unit 112
Attleboro, MA 02703-4695
Phone (508) 455-5740

370 Faunce Corner Rd
North Dartmouth, MA 02747-1271
Phone (401) 433-4172

375 Wampanoag TRL
Suite 403
Riverside, RI 02915-2237
Phone (401) 270-8770

Merit-based Incentive Payment System (MIPS)

Final score
80.9 of 100Reported as group
Quality
79.21
Improvement activities
40
Cost
74.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Flow Recovery Rehabilitation and Wellness Center PLLC Physical Therapist Current Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Nov 21, 2023 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Nov 21, 2023 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Sep 28, 2021 Accepting new patients

Locations

1395 Commerce Way
Ste 112
Attleboro, MA 02703
Phone (508) 455-5740

703 Granite St
Ste 3
Braintree, MA 02184

645 Washington St
Hanover, MA 02339
Phone (781) 924-6365

375 Faunce Corner Rd
Ste C
North Dartmouth, MA 02747
Phone (774) 425-7906

99 Longwater Cir
Ste 201
Norwell, MA 02061
Phone (781) 347-4686

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

2300 Crown Colony Dr
Ste 102
Quincy, MA 02169
Phone (781) 986-0990

4 Richmond Sq
Ste 200
Providence, RI 02906

375 Wampanoag Trl
Ste 403
Riverside, RI 02915
Phone (401) 270-8770

41 Sanderson Rd
Ste 101
Smithfield, RI 02917
Phone (401) 349-4540

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1003395070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ STE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-433-4172",
            "fax_number": "401-433-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WAMPANOAG TRL STE 403",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152237",
            "telephone_number": "401-270-8770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Crown Colony Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021690902",
            "country_code": "US",
            "telephone_number": "781-986-0990",
            "fax_number": "781-986-0991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCOTTE",
        "first_name": "CAMDEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23720",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.