Provider Demographics
NPI:1447807193
Name:DIPIRRO, LYNNE (DPT)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:
Last Name:DIPIRRO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 FOUR SEASONS DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-2136
Mailing Address - Country:US
Mailing Address - Phone:508-360-0797
Mailing Address - Fax:
Practice Address - Street 1:3179 MAIN ST
Practice Address - Street 2:
Practice Address - City:BARNSTABLE
Practice Address - State:MA
Practice Address - Zip Code:02630-1105
Practice Address - Country:US
Practice Address - Phone:508-209-7334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-19
Last Update Date:2021-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT03213225100000X
MA24965-AH-PT225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist