Matthew David Medeiros, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT02612 Issued in RI

Practice address

300 Industrial Way FL 3
Tiverton, RI 02878-3133

Phone

(401) 375-2300

Fax

(401) 240-1410

NPI assigned

Aug 4, 2013

Last updated

Oct 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

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)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Silver Fern Practice, LLC

  dba Highbar

  • Physical Therapist
  • Providence, RI
  • NPI 1851472914
  Medicare reassignment Care Compare group NPD
• Pappas Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Johnston, RI
  • NPI 1851862692

  Physical Therapist

  Medicare reassignment NPD
• Pappas Physical Therapy LLC

  • Durable Medical Equipment & Medical Supplies
  • North Kingstown, RI
  • NPI 1174246672
  NPD
• Silver Fern Practice, LLC

  dba Highbar

  • Physical Therapist
  • Smithfield, RI
  • NPI 1013583426
  NPD
• Lepre Physical Therapy of North Providence, LLC

  dba Lepre PT of N. Providence

  • Physical Therapist
  • North Providence, RI
  • NPI 1588617609
  NPD (past)

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

{
    "created_epoch": "1375574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1982036737",
    "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": "300 INDUSTRIAL WAY FL 3",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028783133",
            "telephone_number": "401-375-2300",
            "fax_number": "401-240-1410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Kettle Point Ave",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029145375",
            "country_code": "US",
            "telephone_number": "401-868-4249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-04",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Dasha Magriby, DNP, FNP
• Karen Martin
• Maxi Drug South LP (Rite Aid Pharmacy 10235)
• Tina M McDonald, RN
• Dylan Medeiros, PHYSICAL THERAPY
• Amy Mello, LICSW
• Laura Katherine Mello, MS RD LDN
• Robin Mello
• Jane G Miniutti, DO
• Ashley J Miranda

• Physical Therapist in Tiverton, RI
• Providers in Tiverton, 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 Oct 30, 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.