Jake T Broccolo, DPT
Jake T Broccolo, DPT is a Physical Therapist in Private Practice in North Providence, Rhode Island. Qualified in 2018, 8 years ago. Practices with Silver Fern Practice LLC, a 296-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.
- Years since qualifying
- 8
- Licensed in
- MA, RI
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- DPT — Doctor of Physical Therapy
- The doctoral degree now required to enter physical therapy practice.
Practice location Address checks out
1401 Douglas AveNorth Providence, RI 02904-4058
Phone: (401) 726-7100
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1295 Fall River Ave, Seekonk, MA 02771-5931 — (508) 231-5944
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT03093 (RI) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence PTL88684 (MA) |
Record details
| NPI number | 1144709114 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPT |
| Sole proprietor | No |
| NPI enumerated | August 10, 2018 |
| Last updated in NPPES | January 30, 2026 |
| Certification date | January 30, 2026 |
| Mailing address | 4 Richmond Sq, Providence, RI 02906-5117 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Silver Fern Practice Llc — 296 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in North Providence
-
MS. Susan M Almeida, MSPT
1920 Mineral Spring Ave Ste 19, North Providence, RI 02904-3742 · (401) 353-9100
-
Kathleen Brown, DPT
200 High Service Ave, North Providence, RI 02904-5113 · (401) 456-3801
-
Mr. Melissa A. Brunelle, PT
1822 Mineral Spring Ave, North Providence, RI 02904-8938 · (401) 354-6700
-
Bethany Carnevale, DPT
1401 Douglas Ave, North Providence, RI 02904-4058 · (401) 435-4540
-
Lauren N Castelli, PT
1525 Smith St Unit 5, North Providence, RI 02911-2959 · (401) 353-8884