NPI 1003972084

Silver Fern Practice, LLC

Organisation Physical Therapist Pawtucket, RI

Practice location

Address: 545 Pawtucket Ave Mailbox 402, Pawtucket, RI 02860-6046
Phone: (401) 475-5775
Mailing address: 4 Richmond Sq STE 200, Providence, RI 02906-5117

Authorised official

Name: Michelle Moniz
Title: Credentialing Specialist
Phone: (401) 433-4172

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

Other Physical Therapist providers in Rhode Island →

Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

Other Occupational Therapist providers in Rhode Island →

Registry record

NPI: 1003972084
Entity type: Organization
NPI issued: 28 Dec 2006
Record last updated: 6 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.