Georgia Ivsin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25979 Issued in MA

Practice address

419 Washington St
Stoughton, MA 02072-4203

Phone

(781) 573-3915

Fax

(781) 795-9947

NPI assigned

Feb 22, 2022

Last updated

Feb 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: givsin119016@direct.challiance.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cambridge Public Health Commission

  dba Cambridge Health Alliance

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1487603585
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1316693062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GRANITE ST STE 3",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845350",
            "telephone_number": "781-961-3370",
            "fax_number": "781-961-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WASHINGTON ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724203",
            "telephone_number": "781-573-3915",
            "fax_number": "781-795-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVSIN",
        "first_name": "GEORGIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ilowiecki, PHARMD
• Michael Joseph Ingemi, D.C.
• Intentional Self. LLC
• Karina Fiona Irusa, BDS,MS,DMD
• Tatyana Ivanova
• Jennifer A Iwanski, CRNA
• Ebony Craig Jackson, PHARMD
• Heidi Sue Jacob, PTA, LMT
• Alan Frank Jacobson, D.C.
• Jacquie Wilson Associates, LLC

• Physical Therapist in Stoughton, MA
• Providers in Stoughton, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.