| Name: | SILVER FERN PRACTICE LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 30 Apr 2003 (22 years ago) |
| Identification Number: | 000131703 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 225 DYER STREET 2ND FLOOR, PROVIDENCE, RI, 02906, USA |
| Mailing Address: | 225 DYER STREET 2ND FLOOR, PROVIDENCE, RI, 02903, USA |
| Purpose: | PHYSICAL THERAPY |
| Fictitious names: |
Highbar (trading name, 2023-02-22 - ) Performance Physical Therapy (trading name, 2007-05-24 - ) Highbar Physical Therapy (trading name, 2024-12-20 - ) |
NAICS
621340 Offices of Physical, Occupational and Speech Therapists, and AudiologistsThis industry comprises establishments of independent health practitioners primarily engaged in one of the following: (1) providing physical therapy services to patients who have impairments, functional limitations, disabilities, or changes in physical functions and health status resulting from injury, disease or other causes, or who require prevention, wellness or fitness services; (2) planning and administering educational, recreational, and social activities designed to help patients or individuals with disabilities regain physical or mental functioning or adapt to their disabilities; and (3) diagnosing and treating speech, language, or hearing problems. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245942564 | 2022-12-19 | 2024-08-19 | 4 RICHMOND SQ STE 200, PROVIDENCE, RI, 029065117, US | 1 NEW LONDON AVE UNIT 9, CRANSTON, RI, 029205600, US | |||||||||||||||||
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| Phone | +1 401-433-4172 |
| Phone | +1 401-726-7100 |
| Fax | 4014330612 |
Authorized person
| Name | ANGELA CARON |
| Role | CREDENTIALING SPECIALIST |
| Phone | 4014334172 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RACHELLE GREEN | Agent | 225 DYER STREET 2ND FLOOR, PROVIDENCE, RI, 02903, USA |
| Number | Name | File Date |
|---|---|---|
| 202445297100 | Annual Report | 2024-02-01 |
| 202329077840 | Fictitious Business Name Statement | 2023-02-22 |
| 202328711510 | Annual Report | 2023-02-17 |
| 202222131180 | Statement of Change of Registered/Resident Agent Office | 2022-08-14 |
| 202215262820 | Annual Report | 2022-04-20 |
| 202101017590 | Annual Report | 2021-09-07 |
| 202059678410 | Annual Report | 2020-10-01 |
| 202059667810 | Statement of Change of Registered/Resident Agent | 2020-09-30 |
| 201927470000 | Annual Report | 2019-11-14 |
| 201994004900 | Statement of Change of Registered/Resident Agent Office | 2019-05-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4993187004 | 2020-04-04 | 0165 | PPP | 4 richmond square suite 200, PROVIDENCE, RI, 02906-5117 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7512468408 | 2021-02-12 | 0165 | PPS | 4 Richmond Sq Ste 200, Providence, RI, 02906-5117 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 11 Apr 2025
Sources: Rhode Island Department of State
