NPIMap

Organization Active NPI

Silver Fern Practice, LLC

  • Physical Therapist
  • Providence, RI
National Provider Identifier
1851472914
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SILVER FERN PRACTICE, LLC
Practice address
4 Richmond SQ
Providence, RI 02906-5117
Phone
(401) 433-4172
Fax
(401) 433-0612
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Katelyn Diminico
Title
Credentialing Specialist
Phone
(401) 433-4172

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

4 Richmond SQ
Providence, RI 02906-5117

Mailing address

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

Other practice location 1

900 Douglas Pike Ste D
Smithfield, RI 02917-1842
Phone (401) 214-9910

Other practice location 2

300 Industrial Way
Tiverton, RI 02878-3133
Phone (401) 375-2300

Other practice location 3

41 Sanderson Rd Ste 101
Smithfield, RI 02917-2611
Phone (401) 349-4540

Other practice location 4

91 Main St Ste 122
Warren, RI 02885-4437
Phone (401) 289-2999

Other practice location 5

12 Stilson Road
Wyoming, RI 02898
Phone (401) 539-4600

Other practice location 6

21 Division St
Pawtucket, RI 02860-5301
Phone (401) 433-4172

Other practice location 7

375 Wampanoag Trl
Riverside, RI 02915-2232
Phone (401) 270-8770

Other practice location 8

426 Metacom Ave
Warren, RI 02885-2711
Phone (401) 903-2167

Other practice location 9

6669 Post Rd
North Kingstown, RI 02852-1832
Phone (401) 667-0131

Other practice location 10

5750 Post Rd
East Greenwich, RI 02818-2139
Phone (401) 885-2821

Other practice location 11

73 Valley Rd
Middletown, RI 02842-5234
Phone (401) 289-2170

Other practice location 12

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

Other practice location 13

227 Centerville Rd Fl 2
Warwick, RI 02886-4330
Phone (401) 732-8200

Other practice location 14

20 Commons Corner Way Unit 12-A
South Kingstown, RI 02879-2574
Phone (401) 213-8940

Other practice location 15

131B Pitman St
Providence, RI 02906-5112
Phone (401) 230-1126

Other practice location 16

116 Granite St
Westerly, RI 02891-2486
Phone (401) 596-0150

Other practice location 17

1401 Douglas Ave
North Providence, RI 02904-4058
Phone (401) 435-4540

Other names 1

  • Highbar Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120813000580 RI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1658266515 Receives reassigned benefits from 168 practitioners
Practice locations: Woonsocket, RI; Westerly, RI; Warwick, RI; Warren, RI; Tiverton, RI; South Kingstown, RI; Smithfield, RI; Riverside, RI…
O20170203002646 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1658266515 Receives reassigned benefits from 225 practitioners
Practice locations: Quincy, MA; North Dartmouth, MA; Norwell, MA; Norwood, MA; Peabody, MA; Pembroke, MA; Plainville, MA; Plymouth, MA…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations (25 of 27)

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

4 Water St
Boston, MA 02109
Phone 61753611613

280 Shrewsbury St
Boylston, MA 01505

501 John Mahar Hwy
Ste 100
Braintree, MA 02184
Phone (781) 214-1717

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

275 Forest Ridge Rd
Concord, MA 01742
Phone (978) 254-5913

1528 Tremont St
Duxbury, MA 02332
Phone (781) 285-6080

187 Summer St
Kingston, MA 02364

2 Granite Ave
Ste 340
Milton, MA 02186
Phone (774) 961-3507

10 Charles St
Needham Heights, MA 02494
Phone (781) 772-2406

370 Faunce Corner Rd
Ste 102
North Dartmouth, MA 02747
Phone (508) 501-0920

99 Longwater Cir
Ste 201
Norwell, MA 02061
Phone (781) 347-4686

115 Norwood Park S
Norwood, MA 02062
Phone (781) 349-5181

194 Newbury St
Peabody, MA 01960
Phone (978) 548-5384

39 Home Depot Dr
Plymouth, MA 02360

10 New Driftway
Ste 203
Scituate, MA 02066

142 North Rd
Sudbury, MA 01776
Phone (508) 231-5944

31 Andrew Ave
Wayland, MA 01778
Phone (508) 358-3410

18 Commerce Way
Ste 3800
Woburn, MA 01801

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

5750 Post Rd
Ste 1A2A
East Greenwich, RI 02818

5750 Post Rd
#1A
East Greenwich, RI 02818
Phone (401) 885-2821

5750 Post Rd
Ste 101
East Greenwich, RI 02818
Phone (401) 885-2821

21 Division St
Pawtucket, RI 02860

131 Pitman St
#B
Providence, RI 02906

Practitioners & affiliated clinicians

Practitioners 381

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 381

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1851472914",
    "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": "4 RICHMOND SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-433-4172",
            "fax_number": "401-433-0612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Douglas Pike Ste D",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "RI",
            "postal_code": "029171842",
            "country_code": "US",
            "telephone_number": "401-214-9910",
            "fax_number": "401-214-9950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Industrial Way",
            "address_purpose": "LOCATION",
            "city": "Tiverton",
            "state": "RI",
            "postal_code": "028783133",
            "country_code": "US",
            "telephone_number": "401-375-2300",
            "fax_number": "401-240-1410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Sanderson Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "RI",
            "postal_code": "029172611",
            "country_code": "US",
            "telephone_number": "401-349-4540",
            "fax_number": "401-349-4510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91 Main St Ste 122",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "RI",
            "postal_code": "028854437",
            "country_code": "US",
            "telephone_number": "401-289-2999",
            "fax_number": "401-289-2950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Stilson Road",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "RI",
            "postal_code": "02898",
            "country_code": "US",
            "telephone_number": "401-539-4600",
            "fax_number": "401-539-4601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Division St",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028605301",
            "country_code": "US",
            "telephone_number": "401-433-4172",
            "fax_number": "401-433-0612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 Wampanoag Trl",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029152232",
            "country_code": "US",
            "telephone_number": "401-270-8770",
            "fax_number": "401-270-8772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "426 Metacom Ave",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "RI",
            "postal_code": "028852711",
            "country_code": "US",
            "telephone_number": "401-903-2167",
            "fax_number": "401-903-4976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6669 Post Rd",
            "address_purpose": "LOCATION",
            "city": "North Kingstown",
            "state": "RI",
            "postal_code": "028521832",
            "country_code": "US",
            "telephone_number": "401-667-0131",
            "fax_number": "401-667-0132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5750 Post Rd",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028182139",
            "country_code": "US",
            "telephone_number": "401-885-2821",
            "fax_number": "401-884-5428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "73 Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "RI",
            "postal_code": "028425234",
            "country_code": "US",
            "telephone_number": "401-289-2170",
            "fax_number": "401-289-2634",
            "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"
        },
        {
            "address_1": "227 Centerville Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864330",
            "country_code": "US",
            "telephone_number": "401-732-8200",
            "fax_number": "401-732-8230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Commons Corner Way Unit 12-A",
            "address_purpose": "LOCATION",
            "city": "South Kingstown",
            "state": "RI",
            "postal_code": "028792574",
            "country_code": "US",
            "telephone_number": "401-213-8940",
            "fax_number": "401-413-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131B Pitman St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029065112",
            "country_code": "US",
            "telephone_number": "401-230-1126",
            "fax_number": "401-230-1128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Granite St",
            "address_purpose": "LOCATION",
            "city": "Westerly",
            "state": "RI",
            "postal_code": "028912486",
            "country_code": "US",
            "telephone_number": "401-596-0150",
            "fax_number": "401-667-0132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Douglas Ave",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029044058",
            "country_code": "US",
            "telephone_number": "401-435-4540",
            "fax_number": "401-434-4521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SILVER FERN PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "DIMINICO",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "401-433-4172"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highbar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.