NPIMap

Organization Active NPI

Silver Fern Practice, LLC

  • Rehabilitation Practitioner
  • Bridgewater, MA
National Provider Identifier
1831550250
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
SILVER FERN PRACTICE, LLC
Practice address
75A Scotland Blvd
Bridgewater, MA 02324-2302
Phone
(508) 697-2000
Fax
(508) 697-2002
NPI assigned
Mar 12, 2016
Last updated
Nov 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X NU Primary

Addresses

Primary practice location

75A Scotland Blvd
Bridgewater, MA 02324-2302

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160513001560 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8123317104 Receives reassigned benefits from 21 practitioners
Practice locations: Bridgewater, MA; Buzzards Bay, MA; Middleboro, MA

National Provider Directory

National Provider Directory

Locations

75A Scotland Blvd
Bridgewater, MA 02324
Phone (508) 697-2000

985 Pleasant St
Bridgewater, MA 02324

200 Oak Point Dr
Middleboro, MA 02346
Phone (781) 729-2055

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1457740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1831550250",
    "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": "75A SCOTLAND BLVD",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242302",
            "telephone_number": "508-697-2000",
            "fax_number": "508-697-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER FERN PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-12",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "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": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.