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Active NPI 1790200350 Individual Practitioner Male Practitioner

Dr. Robert Dattilo , DPT

Physical Therapist • Pawtucket, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Dattilo, DPT is a certified Physical Therapist practicing in Pawtucket, RI. With approximately 9 years of clinical experience since completing medical education in 2017, Dr. Dattilo delivers high-quality medical care to the local community at 21 DIVISION ST.

Dr. Dattilo is affiliated with Silver Fern Practice Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using functional activities, therapy procedure to re-educate brain-to-nerve-to-muscle function, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

21 Division St

Pawtucket, RI 028605301

Telephone 4017267100
Fax 4017215214
Associated Practice Facility / Clinic
🏢 Silver Fern Practice, Llc Facility NPI 1912410101

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Pawtucket, RI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -3.5 yrs vs City Avg
City Avg: 12.5 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
108 Specialists

Practicing in Pawtucket, RI (1248 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dattilo (9 Years) 9 Yrs
Pawtucket Specialty Average (12.5 Years) 12.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
197 31 $85.00 $22.79
97530 Therapy procedure using functional activities
146 32 $85.00 $35.17
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
113 26 $85.00 $26.67
97140 Therapy procedure using manual technique, each 15 minutes
77 21 $85.00 $21.20
97161 Evaluation of physical therapy, typically 20 minutes
17 15 $150.00 $102.45

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License RI PT03012

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Hospital & Practice Group Affiliations

Silver Fern Practice Llc

21 Division St, Pawtucket, RI 028605301

Phone: 4017267100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003531989

Physical Therapist

Dr. Conor Bray , PT, DPT

Physical Therapist

NPI 1013316868

Physical Therapist, Doctor of Physical Therapy

Dr. Nicholas Ford , DPT

Physical Therapist

NPI 1013601350

Doctor of Physical Therapy

Dr. Brittany Polk , DPT

Physical Therapist

NPI 1013795418

Doctor of Physical Therapy

Dr. Bradley Brink , DPT

Physical Therapist

NPI 1043886997

Doctor of Physical Therapy

Dr. Sarah Shaver , DPT

Physical Therapist

NPI 1053830307

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active December 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 26, 2017

Registered at 21 DIVISION ST, PAWTUCKET, RI 028605301 (Tel: 4017267100)

📍
Updated Business Mailing Address December 26, 2017

Registered at 4 RICHMOND SQ STE 200, PROVIDENCE, RI 029065117 (Tel: 4014334172)

👤
Provider Name / Credentials Updated December 26, 2017

Recorded as ROBERT DATTILO, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2017

Physical Therapist (License #PT03012 in RI)

NPI Profile Active August 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2017

Registered at 21 DIVISION ST, PAWTUCKET, RI 028605301 (Tel: 4017267100)

📍
Updated Business Mailing Address August 04, 2017

Registered at 4 RICHMOND SQ STE 200, PROVIDENCE, RI 029065117 (Tel: 4014334172)

👤
Provider Name / Credentials Updated August 04, 2017

Recorded as ROBERT DATTILO, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2017

Physical Therapist (License #PT03012 in RI)

🟢
Initial NPI Registration & Enumeration August 04, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790200350
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2017
Last Update: December 26, 2017
Sole Proprietor: No

Mailing Address

4 Richmond Sq Ste 200

Providence, RI 029065117

Phone: 4014334172

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.