Active NPI
Carla Blackwell Silva, PT
- Physical Therapist
- Pawtucket, RI
National Provider Identifier
1144345323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT01596
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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.