Active NPI
Silver Fern Practice, LLC
Doing business as Highbar
- Physical Therapist
- Providence, RI
National Provider Identifier
1265980080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SILVER FERN PRACTICE, LLC
- Doing business as
- Highbar
- Practice address
- 49 Seekonk St
Providence, RI 02906-5176 - Phone
- (401) 230-1126
- Fax
- (401) 230-1128
- NPI assigned
- Sep 21, 2016
- Last updated
- Nov 6, 2025
- Organization subpart
- Yes
- Parent organization
- SILVER FERN PRACTICE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Traskauskas
- Title
- Credentialing Specialist
- Phone
- (401) 433-4172
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
49 Seekonk St
Providence, RI 02906-5176
Mailing address
4 Richmond SQ
Suite 200
Providence, RI 02906-5117
Phone (401) 433-4172
Other names 1
- Highbar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160924000505 | RI | DME Supplier - Independently-Practicing Physical Therapist | 1658266515 | Practice locations: Providence, RI |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Silver Fern Practice LLC
- Part of
- Silver Fern Practice LLC
Other organizations with this tax ID 14
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Pawtucket, RI
- NPI 1275578569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762387200000",
"number": "1265980080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 RICHMOND SQ",
"address_2": "SUITE 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": "49 SEEKONK ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065176",
"telephone_number": "401-230-1126",
"fax_number": "401-230-1128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILVER FERN PRACTICE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SILVER FERN PRACTICE, LLC",
"enumeration_date": "2016-09-21",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A",
"authorized_official_last_name": "TRASKAUSKAS",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "401-433-4172"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Highbar",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.