Active NPI
Paula A Sullivan, BS PT
- Physical Therapist
- Ipswich, MA
National Provider Identifier
1063409373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6051
- Practice address
- 1 Linebrook Rd
Ipswich, MA 01938-2901 - Phone
- (978) 356-4297
- Fax
- (978) 356-5091
- NPI assigned
- Oct 3, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6051 | MA | Primary |
Addresses
Primary practice location
1 Linebrook Rd
Ipswich, MA 01938-2901
Mailing address
1 Linebrook Rd
Ipswich, MA 01938-2901
Phone (978) 356-4297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063409373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LINEBROOK RD",
"city": "IPSWICH",
"state": "MA",
"postal_code": "019382901",
"telephone_number": "978-356-4297",
"fax_number": "978-356-5091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LINEBROOK RD",
"city": "IPSWICH",
"state": "MA",
"postal_code": "019382901",
"telephone_number": "978-356-4297",
"fax_number": "978-356-5091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "PAULA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "BS PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "6051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ipswich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.