Active NPI
Samirah Antenor
- Developmental Therapist
- Boston, MA
National Provider Identifier
1184332652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 6 Liberty Square PMB#563
Boston, MA 02109 - Phone
- (888) 572-7473
- NPI assigned
- Nov 14, 2022
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
6 Liberty Square PMB#563
Boston, MA 02109
Mailing address
6 Liberty Square PMB#563
Boston, MA 02109
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.risingaboveaba.com | Rising Above LLC |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1184332652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 LIBERTY SQUARE PMB#563",
"city": "BOSTON",
"state": "MA",
"postal_code": "02109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 LIBERTY SQUARE PMB#563",
"city": "BOSTON",
"state": "MA",
"postal_code": "02109",
"telephone_number": "888-572-7473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTENOR",
"first_name": "SAMIRAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.risingaboveaba.com",
"affiliation": "Y",
"affiliationName": "Rising Above LLC",
"address_1": "6 Liberty Square PMB#563",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "02109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.