Active NPIIndividual provider

Mrs. Eileen Supple, PT

Physical Therapist in Duxbury, Massachusetts

NPI Number1588684963
Practice location
95 Tremont St, Suite 20, Duxbury, MA 02332-4738
Fax
781-934-8112
Last updated
July 8, 2007

Eileen Supple is a Physical Therapist based in Duxbury, MA. Eileen Supple practices in Duxbury, MA and has the professional credentials of PT. The NPI Number for Eileen Supple is 1588684963 and holds a License No. 5794 (MA). The current practice location address for Eileen Supple is 95 Tremont St, Suite 20, Duxbury, MA 02332-4738 and can be reached out via phone at 781-934-7292 and via fax at 781-934-8112.

Provider Profile Details

NPI Number
1588684963
Provider Name
Eileen Supple
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
95 Tremont St, Suite 20, Duxbury, MA 02332-4738
Phone Number
781-934-7292
Fax Number
781-934-8112
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
July 20, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 Tremont St
Suite 20
Duxbury, MA 02332-4738
Zip
02332-4738
Phone Number
781-934-7292
Fax Number
781-934-8112
Duxbury, MA 02332Get directions →

Provider Business Mailing Address Details

Address
12 Stoney Brook RD
Kingston, MA 02364
City
Kingston
State
MA
Zip
02364

License Information

License Number
5794
License State
MA
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Eileen Supple, PT?

The NPI number of Mrs. Eileen Supple, PT is 1588684963. It was assigned on July 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Eileen Supple, PT?

Mrs. Eileen Supple, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 5794.

Where does Mrs. Eileen Supple, PT practice?

The practice location is 95 Tremont St, Suite 20, Duxbury, MA 02332-4738. The office can be reached at 781-934-7292 (phone) or 781-934-8112 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588684963 directly on the NPPES registry website.

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