Individual provider Active NPI

Carla Blackwell Silva, PT

  • Physical Therapist
  • Pawtucket, RI
National Provider Identifier
1144345323
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT01596 Issued in RI
Practice address
545 Pawtucket Ave
Foundation Performance, Mailbox 402
Pawtucket, RI 02860-6046
Phone
(401) 475-5775
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT01596 RI Primary

Addresses

Primary practice location

545 Pawtucket Ave
Foundation Performance, Mailbox 402
Pawtucket, RI 02860-6046

Mailing address

545 Pawtucket Ave
Foundation Performance, Mailbox 402
Pawtucket, RI 02860-6046
Phone (401) 475-5775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090511000072 RI Practitioner - Physical Therapist in Private Practice 2264580778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy LLC 73 clinicians

Practice addresses (Care Compare)

180 County Rd
Suite 9C
Barrington, RI 02806-4544
Phone (401) 352-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Organizations & group practices 1

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1144345323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 PAWTUCKET AVE",
            "address_2": "FOUNDATION PERFORMANCE, MAILBOX 402",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606046",
            "telephone_number": "401-475-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 PAWTUCKET AVE",
            "address_2": "FOUNDATION PERFORMANCE, MAILBOX 402",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606046",
            "telephone_number": "401-475-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "CARLA",
        "middle_name": "BLACKWELL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT01596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 30, 2008; 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.