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

Robert Jason Gruttadauria, PT

Individual provider Physical Therapist · NPI 1093062804

Robert Jason Gruttadauria, PT is a Physical Therapist in Private Practice in Providence, Rhode Island. Qualified in 2012, 14 years ago. Practices with Silver Fern Practice LLC, a 296-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
14
Licensed in
RI
In the registry since
2012
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

49 Seekonk St
Providence, RI 02906-5176
Phone: (401) 230-1126
Fax: (401) 230-1128
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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 PT02498 (RI)

Record details

NPI number1093062804
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 10, 2012
Last updated in NPPESDecember 7, 2017
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 2012 (14 years in practice)
Group practice Silver Fern Practice Llc — 296 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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