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
- Last updated
- Apr 30, 2008
- 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
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
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13116 | MA | MD | Occupational Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Warwick, RI
- NPI 1225123565
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.