| Evan Bohan, DPT | |
|
20 Commons Corner Way Unit 12-a, South Kingstown, RI 02879-2291 | |
| (401) 726-7100 | |
| (401) 213-8380 |
| Full Name | Evan Bohan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 20 Commons Corner Way Unit 12-a, South Kingstown, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871276600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT03715 (Rhode Island) | Primary |
| Provider Name | Silver Fern Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1851472914 PECOS PAC ID: 1658266515 Enrollment ID: O20120813000580 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Bohan, DPT 4 Richmond Sq Ste 200, Providence, RI 02906-5117 Ph: (401) 433-4172 | Evan Bohan, DPT 20 Commons Corner Way Unit 12-a, South Kingstown, RI 02879-2291 Ph: (401) 726-7100 |
Silver Fern Practice, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Commons Corner Way Unit 12-a, South Kingstown, RI 02879 Phone: 401-726-7100 Fax: 401-722-9386 | |
Addison Jean Murphy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 163 Main St, South Kingstown, RI 02879 Phone: 401-782-4049 | |
Sarah Lynn Cohen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20 Commons Corner Way Unit 12a, South Kingstown, RI 02879 Phone: 401-726-7100 Fax: 401-213-8380 | |
Ethan Barker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Commons Corner Way, South Kingstown, RI 02879 Phone: 401-213-8940 Fax: 401-413-8380 | |
Holly Garcia, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20 Commons Corner Way Unit 12-a, South Kingstown, RI 02879 Phone: 401-726-7100 Fax: 401-213-8380 | |
Duyanh Nguyen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20 Commons Corner Way # 12-a, South Kingstown, RI 02879 Phone: 401-433-4172 Fax: 401-433-0612 | |
Dr. Melanie Christine Reppucci, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2937 Post Rd, South Kingstown, RI 02879 Phone: 508-369-6986 |