Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas Fontanella

Individual provider Physical Therapist · NPI 1558192294

Nicholas Fontanella is a Physical Therapist in Private Practice in Buzzards Bay, Massachusetts. Qualified in 2024, 2 years ago. Practices with Silver Fern Practice LLC, a 296-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
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Practice location Address checks out

85 Main St
Buzzards Bay, MA 02532-3224
Phone: (774) 247-4868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 27757 (MA)

Record details

NPI number1558192294
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 13, 2024
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing address85 Main St, Buzzards Bay, MA 02532-3224

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Silver Fern Practice Llc — 296 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Buzzards Bay