Active NPI
Silver Fern Practice, LLC
- Physical Therapist
- Plymouth, MA
National Provider Identifier
1790649317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SILVER FERN PRACTICE, LLC
- Practice address
- 39 Home Depot Dr
Plymouth, MA 02360-2669 - Phone
- (401) 433-4172
- Fax
- (401) 433-0612
- NPI assigned
- Dec 10, 2025
- Last updated
- Dec 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Marie Moniz
- 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
39 Home Depot Dr
Plymouth, MA 02360-2669
Mailing address
4 Richmond SQ
Providence, RI 02906-5117
Phone (401) 433-4172
National Provider Directory
National Provider Directory- Tax ID family
- 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 3
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
- Attleboro, MA
- NPI 1205389830
-
- Occupational Therapist
- Plymouth, MA
- NPI 1710657358
-
- Physical Therapist
- Pawtucket, RI
- NPI 1275578569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765324800000",
"number": "1790649317",
"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": "39 HOME DEPOT DR",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602669",
"telephone_number": "401-433-4172",
"fax_number": "401-433-0612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILVER FERN PRACTICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-10",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A",
"authorized_official_last_name": "MONIZ",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "MARIE",
"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": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.