Active NPI
Tiffany Lao
- Physical Therapist
- Pawtucket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT04097
- Practice address
- 21 Division St
Pawtucket, RI 02860-5352 - Phone
- (401) 226-0545
- Fax
- (401) 721-5214
- NPI assigned
- Nov 27, 2023
- Last updated
- Feb 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT04097 | RI | Primary |
| Physical Therapist | 225100000X | PA |
Addresses
Primary practice location
21 Division St
Pawtucket, RI 02860-5352
Mailing address
4 Richmond SQ
Providence, RI 02906-5117
Phone (401) 433-4172
Other practice location 1
169 Levittown Pkwy Ste D
Levittown, PA 19055-2463
Phone (215) 377-9932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, RI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
169 Levittown Pkwy
Suite D
Levittown, PA 19055-2463
Phone (215) 377-9932
21 Division St
Pawtucket, RI 02860-5301
Phone (401) 726-7100
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.05 of 100
- Quality
- 89.12
- Improvement activities
- 40
- Cost
- 73.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT04097 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Fern Practice, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Silver Fern Practice, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
775 Huntingdon Pike
Huntingdon Valley, PA 19006
Phone (215) 690-5575
169 Levittown Pkwy
Ste D
Levittown, PA 19055
Phone (215) 377-9932
9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200
9475 Roosevelt Blvd
#B4
Philadelphia, PA 19114
Phone (215) 464-6200
118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126
468 2nd Street Pike
Southampton, PA 18966
Phone (215) 876-6692
21 Division St
Pawtucket, RI 02860
4 Richmond Sq
Providence, RI 02906
Phone (401) 885-2821
Organizations & group practices 5
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.
-
dba ATI Physical Therapy
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
PA, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
dba Ati Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Philadelphia, PA
- NPI 1316139389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1346016862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 RICHMOND SQ",
"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": "21 DIVISION ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605352",
"telephone_number": "401-226-0545",
"fax_number": "401-721-5214"
}
],
"practiceLocations": [
{
"address_1": "169 Levittown Pkwy Ste D",
"address_purpose": "LOCATION",
"city": "Levittown",
"state": "PA",
"postal_code": "190552463",
"country_code": "US",
"telephone_number": "215-377-9932",
"fax_number": "267-839-7203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAO",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT04097",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": null,
"primary": false
}
],
"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 Feb 24, 2026; 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.