Active NPI
Kathleen Rafanelli, DPT
- Physical Therapist
- Richmond, RI
National Provider Identifier
1104431295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT03315
- Practice address
- 12 Stilson Rd
Richmond, RI 02898-1026 - Phone
- (401) 539-4600
- Fax
- (401) 539-4601
- NPI assigned
- Sep 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT03315 | RI | Primary |
Addresses
Primary practice location
12 Stilson Rd
Richmond, RI 02898-1026
Mailing address
4 Richmond SQ Ste 200
Providence, RI 02906-5117
Phone (401) 433-4172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200922001536 | RI | Practitioner - Physical Therapist in Private Practice | 9537587688 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Silver Fern Practice LLC
Practice addresses (Care Compare)
12 Stilson Rd
Richmond, RI 02898-1026
Phone (401) 726-7100
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.9 of 100
- Quality
- 79.21
- Improvement activities
- 40
- Cost
- 74.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT03315 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Fern Practice, LLC | Physical Therapist | Current | Accepting new patients |
| Silver Fern Practice, LLC | Physical Therapist | Current | Accepting new patients |
Locations
4 Richmond Sq
Ste 200
Providence, RI 02906
41 Sanderson Rd
Ste 101
Smithfield, RI 02917
Phone (401) 349-4540
Organizations & group practices 3
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.
-
- Physical Therapist
- Providence, RI
- NPI 1851472914
-
- Physical Therapist
- Providence, RI
- NPI 1265980080
-
- Physical Therapist
- Smithfield, RI
- NPI 1013583426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1104431295",
"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": "12 STILSON RD",
"city": "RICHMOND",
"state": "RI",
"postal_code": "028981026",
"telephone_number": "401-539-4600",
"fax_number": "401-539-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFANELLI",
"first_name": "KATHLEEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-15",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT03315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.