Brian Anthony Faella, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

02120 Issued in RI

Practice address

129 School St
Pawtucket, RI 02860-5305

Phone

(401) 726-7100

Fax

(401) 722-9386

NPI assigned

Oct 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Silver Fern Practice, LLC

  • Physical Therapist
  • Smithfield, RI
  • NPI 1013583426
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1134317563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 SCHOOL ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605305",
            "telephone_number": "401-726-7100",
            "fax_number": "401-722-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SCHOOL ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605305",
            "telephone_number": "401-726-7100",
            "fax_number": "401-722-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAELLA",
        "first_name": "BRIAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "02120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Evans, MASTERS
• Joseph J Evans
• Selena Evora, MPH, ECID, CPD
• Romel Exama
• Maria Valeria Fabre, MD
• Elaine Fain, MD
• Fairlawn Pharmacy Inc
• Fairlawn Primary Care, Inc
• Jenna Fallago, MSW
• Jaleh Fallah, MD

• Physical Therapist in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.