Individual provider Active NPI

Michael Jung, DPT

  • Physical Therapist
  • Attleboro, MA
National Provider Identifier
1689439812
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL27378 Issued in MA
Practice address
1395 Commerce Way # a
Attleboro, MA 02703-4694
Phone
(508) 455-5740
Fax
(508) 455-5945
NPI assigned
Feb 16, 2024
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT03906 RI
Physical Therapist 225100000X PTL27378 MA Primary

Addresses

Primary practice location

1395 Commerce Way # a
Attleboro, MA 02703-4694

Mailing address

4 Richmond SQ Ste 200
Providence, RI 02906-5117
Phone (401) 433-4172

Other practice location 1

187 Summer St Ste 3
Kingston, MA 02364-1245
Phone (401) 648-1663

Other practice location 2

1 New London Ave Unit 9
Cranston, RI 02920-5600
Phone (401) 205-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241113003444 MA Practitioner - Physical Therapist in Private Practice 7416481403 Reassigns benefits to 1 organization
I20241209002190 RI Practitioner - Physical Therapist in Private Practice 7416481403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Fern Practice LLCGroup PAC ID 1658266515, 297 clinicians

Practice addresses (Care Compare)

1 New London Ave
Cranston, RI 02920-5600
Phone (401) 726-7100

1395 Commerce Way
Unit 112
Attleboro, MA 02703-4695
Phone (508) 455-5740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL27378MAMDPhysical Therapist
PT03906RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Redpoint Physical Therapy Inc Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Silver Fern Practice, LLC Physical Therapist PastSince Dec 28, 2022 Accepting new patients

Locations

1395 Commerce Way
Ste 112
Attleboro, MA 02703
Phone (508) 455-5740

187 Summer St
Ste 3
Kingston, MA 02364
Phone (781) 422-3466

1 New London Ave
Cranston, RI 02920
Phone (401) 205-8200

1 New London Ave
Unit 9
Cranston, RI 02920
Phone (401) 205-8200

4 Richmond Sq
Ste 200
Providence, RI 02906

41 Sanderson Rd
Ste 101
Smithfield, RI 02917
Phone (401) 349-4540

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1689439812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ STE 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": "1395 COMMERCE WAY # A",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027034694",
            "telephone_number": "508-455-5740",
            "fax_number": "508-455-5945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 Summer St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "MA",
            "postal_code": "023641245",
            "country_code": "US",
            "telephone_number": "401-648-1663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 New London Ave Unit 9",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029205600",
            "country_code": "US",
            "telephone_number": "401-205-8200",
            "fax_number": "401-250-5724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-16",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03906",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL27378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.