Provider Demographics
NPI:1134116692
Name:THE IPSWICH CENTER INC
Entity Type:Organization
Organization Name:THE IPSWICH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE
Authorized Official - Prefix:MS
Authorized Official - First Name:EVE
Authorized Official - Middle Name:S
Authorized Official - Last Name:HAMLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-356-4297
Mailing Address - Street 1:1 LINEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-2901
Mailing Address - Country:US
Mailing Address - Phone:978-356-9297
Mailing Address - Fax:978-356-5091
Practice Address - Street 1:1 LINEBROOK RD
Practice Address - Street 2:
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938-2901
Practice Address - Country:US
Practice Address - Phone:978-356-9297
Practice Address - Fax:978-356-5091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PT0055Medicare ID - Type Unspecified