Jake T. Broccolo, DPT
NPI 1144709114ActiveIndividual· Physical Therapist· North Providence, RI
Physical Therapist (DPT) with Silver Fern Practice LLC, practicing in North Providence, Rhode Island. Medicare paid $33,185 for services to 83 patients in 2024.
Overview
| NPI | 1144709114 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Aug 10, 2018 |
| Last updated in NPPES | Jan 30, 2026 |
| Certified by provider | Jan 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT03093 | RI |
| Physical Therapist | 225100000X | PTL88684 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MA); Practitioner - Physical Therapist in Private Practice (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 83 |
|---|---|
| Services billed | 1,698 across 8 procedure codes |
| Paid by Medicare | $33,185 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Silver Fern Practice LLCAttleboro, MA · 298 clinicians
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All 41 physical therapists in North Providence · All physical therapists in Rhode Island