Individual provider Active NPI

Sarah Noelle Shaver, DPT

  • Physical Therapist
  • Tiverton, RI
National Provider Identifier
1053830307
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT03531 Issued in RI
Practice address
300 Industrial Way FL 3
Tiverton, RI 02878-3133
Phone
(401) 726-7100
Fax
(401) 240-1410
NPI assigned
Sep 18, 2017
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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 PT03531 RI Primary
Physical Therapist 225100000X 15488 CT

Addresses

Primary practice location

300 Industrial Way FL 3
Tiverton, RI 02878-3133

Mailing address

4 Richmond SQ Ste 200
Providence, RI 02906-5117

Other practice location 1

359 Queen St
Southington, CT 06489-1843
Phone (860) 621-7389

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171006002569 OR Practitioner - Physical Therapist in Private Practice 7810262490 Reassigns benefits to 1 organization
I20221207001944 RI Practitioner - Physical Therapist in Private Practice 7810262490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy LLCGroup PAC ID 1951295187, 73 clinicians

Practice addresses (Care Compare)

285 Governor St
Providence, RI 02906-3237
Phone (401) 276-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT03531RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Sep 16, 2022 Accepting new patients
Elite Physical Therapy, LLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Oct 16, 2017 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist CurrentSince Oct 16, 2017 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Sep 16, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

625 SW Ramsey Ave
Ste B
Grants Pass, OR 97527
Phone (541) 476-1919

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

285 Governor St
Providence, RI 02906
Phone (401) 228-3480

4 Richmond Sq
Ste 200
Providence, RI 02906

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

300 Industrial Way
Fl 3
Tiverton, RI 02878
Phone (401) 375-2300

535 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-4581

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1053830307",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 INDUSTRIAL WAY FL 3",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028783133",
            "telephone_number": "401-726-7100",
            "fax_number": "401-240-1410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "359 Queen St",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064891843",
            "country_code": "US",
            "telephone_number": "860-621-7389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "SARAH",
        "middle_name": "NOELLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03531",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "15488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiverton, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.