Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jake T Broccolo, DPT

Physical Therapist in North Providence, RI · enumerated 2018 · practices at Silver Fern Practice, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144709114

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Registry record

Entity type Individual (Type 1)

Name Jake T Broccolo

Credential DPT

Sex Male

Practice address 1401 Douglas Ave, North Providence, RI, 02904

Phone (401) 726-7100

Enumeration date Aug 10, 2018

Last updated in NPPES Jan 30, 2026

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PTL88684 (MA) Secondary

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT03093 (RI) Primary

DPT · Doctor of Physical Therapy: A physical therapist holding the clinical doctorate now standard for the profession. About the DPT credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jake Broccolo?

The National Provider Identifier (NPI) for Jake Broccolo is 1144709114, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jake Broccolo practice?

The practice location on file with NPPES is in North Providence, RI. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-30.