Provider Demographics
NPI:1568799369
Name:RUFFUS, ANNE JAMISON (PT)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:JAMISON
Last Name:RUFFUS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:JAMISON
Other - Last Name:WALSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:57 MOULTON RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-2156
Mailing Address - Country:US
Mailing Address - Phone:617-571-8768
Mailing Address - Fax:
Practice Address - Street 1:1 HAMPTON RD
Practice Address - Street 2:SUITE 200
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4855
Practice Address - Country:US
Practice Address - Phone:603-775-7575
Practice Address - Fax:603-778-9680
Is Sole Proprietor?:No
Enumeration Date:2009-11-16
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3285225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH4111OtherMEDICARE GP#
NH4111OtherMEDICARE GP#
08Y015995NH02OtherANTHEM / BCBS
08Y015995NH09OtherANTHEM / BCBS
08Y015995NH05OtherANTHEM / BCBS
47000985OtherCIGNA
100833000OtherDEPT OF LABOR
01412702Medicare PIN
NH4111OtherMEDICARE GP#
08Y015995NH07OtherANTHEM / BCBS
08Y015995NH08OtherANTHEM / BCBS