Silver Fern Practice, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SILVER FERN PRACTICE, LLC

Doing business as

Performance Physical Therapy

Practice address

1235 Wampanoag TRL
Riverside, RI 02915-1231

Phone

(401) 433-4049

Fax

(401) 270-0118

NPI assigned

Oct 17, 2016

Organization subpart

No

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 1

Addresses

Other names 1

• Performance Physical Therapy Doing business as

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1801347760",
    "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": "1235 WAMPANOAG TRL",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151231",
            "telephone_number": "401-433-4049",
            "fax_number": "401-270-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER FERN PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2017-03-28",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shalyn Shorter, LICSW
• Sandipan Shringi, MD
• Chelsea Sickel, D.C.
• Britnei Silva
• Silver Fern Practice, LLC (Highbar)
• Rebecca B. Silver, PH.D.
• Joseph B. Singer, MD
• Mriganka Singh, M.D.
• Kathryn Ann Sirr, MS CCC-SLP
• Lauren Elise Slater, NP

• Physical Therapist in Riverside, RI
• Providers in Riverside, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.