Provider Demographics
NPI:1073554234
Name:SILK, ALAN NEIL (PT)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:NEIL
Last Name:SILK
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BRADFORD ST
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-2204
Mailing Address - Country:US
Mailing Address - Phone:401-247-2226
Mailing Address - Fax:
Practice Address - Street 1:167 GANO ST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-3808
Practice Address - Country:US
Practice Address - Phone:401-274-4325
Practice Address - Fax:401-274-0329
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT00426225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI2517-9OtherBLUE CROSS/BLUE SHIELD