NPIMap

Organization Active NPI

Silver Fern Practice, LLC

  • Physical Therapist
  • Pawtucket, RI
National Provider Identifier
1003972084
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SILVER FERN PRACTICE, LLC
Practice address
545 Pawtucket Ave
Mailbox 402
Pawtucket, RI 02860-6046
Phone
(401) 475-5775
NPI assigned
Dec 28, 2006
Organization subpart
Yes
Parent organization
SILVER FERN PRACTICE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Michelle Moniz
Title
Credentialing Specialist
Phone
(401) 433-4172

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

545 Pawtucket Ave
Mailbox 402
Pawtucket, RI 02860-6046

Mailing address

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

Other names 1

  • Highbar Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Silver Fern Practice LLC15 organizations share this tax ID, including this one
Part of
Silver Fern Practice LLC

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

25 Taunton St
Plainville, MA 02762
Phone (508) 316-1283

545 Pawtucket Ave
Unit 402
Pawtucket, RI 02860
Phone (401) 475-5775

545 Pawtucket Ave
Pawtucket, RI 02860
Phone (401) 475-5775

569 Main St
Warren, RI 02885
Phone (401) 289-2999

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1003972084",
    "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": "545 PAWTUCKET AVE",
            "address_2": "MAILBOX 402",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606046",
            "telephone_number": "401-475-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER FERN PRACTICE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SILVER FERN PRACTICE, LLC",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "MONIZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "401-433-4172"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highbar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.