Brody Duperry, DPT | |
227 Centerville Rd, Warwick, RI 02886-4394 | |
(401) 726-7100 | |
(401) 732-8230 |
Full Name | Brody Duperry |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 227 Centerville Rd, Warwick, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093436966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT03549 (Rhode Island) | Primary |
Provider Name | Silver Fern Practice Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1851472914 PECOS PAC ID: 1658266515 Enrollment ID: O20120813000580 |
Mailing Address | Practice Location Address |
---|---|
Brody Duperry, DPT 4 Richmond Sq Ste 200, Providence, RI 02906-5117 Ph: (401) 433-4172 | Brody Duperry, DPT 227 Centerville Rd, Warwick, RI 02886-4394 Ph: (401) 726-7100 |
Dr. Chad Pare, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 143 Midget Ave, Warwick, RI 02886 Phone: 401-808-5552 | |
Mr. Arthur Edward Keegan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Jefferson Blvd, Warwick, RI 02888 Phone: 401-463-3060 Fax: 401-463-9990 | |
Jillian Lewis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 535 Centerville Rd, Suite 101, Warwick, RI 02886 Phone: 401-737-4581 Fax: 401-737-4811 | |
Lisa Ellis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 535 Centerville Rd, Suite 101, Warwick, RI 02886 Phone: 401-737-6011 Fax: 401-737-4811 | |
Kristen D Fredriksen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 535 Centerville Rd, Suite 101, Warwick, RI 02886 Phone: 401-737-6011 Fax: 401-737-4811 | |
Nicholas John, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 535 Centerville Rd, Suite 101, Warwick, RI 02886 Phone: 401-737-4581 Fax: 401-737-4811 |