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

Nicholas Grillo, DPT

Individual provider Physical Therapist · NPI 1073918959

Nicholas Grillo, DPT is a Physical Therapist in Private Practice in Warren, Rhode Island. Qualified in 2014, 12 years ago. Practices with Silver Fern Practice LLC, a 296-clinician group and accepts Medicare assignment. Licensed in Rhode Island and Virginia.

Years since qualifying
12
Licensed in
RI, VA
In the registry since
2014
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

426 Metacom Ave
Warren, RI 02885-2711
Phone: (401) 903-2167
Fax: (401) 903-4976
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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 PT03743 (RI)
Physical Therapist Taxonomy 225100000X · Licence 2305209127 (VA)

Record details

NPI number1073918959
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 4, 2014
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023
Mailing address4 Richmond Sq Ste 200, Providence, RI 02906-5117

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Silver Fern Practice Llc — 296 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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