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

Nickolas Gervasio, PT

Individual provider Physical Therapist · NPI 1437556388

Nickolas Gervasio, PT is a Physical Therapist in Private Practice in Cranston, Rhode Island. Qualified in 2014, 12 years ago. Practices with Silver Fern Practice LLC, a 296-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
12
Licensed in
RI
In the registry since
2014
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1 New London Ave Unit 9
Cranston, RI 02920-5600
Phone: (401) 205-8200
Fax: (401) 250-5724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 535 Centerville Rd, Warwick, RI 02886-4486 — (401) 737-6011

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT02712 (RI)

Record details

NPI number1437556388
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 20, 2014
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
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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