Michaela Van Antwerp, MS, OTR/L

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

12384 Issued in MA

Practice address

179 Bear Hill Rd Ste 105
Waltham, MA 02451-1063

Phone

(781) 895-9500

Fax

(781) 895-4800

NPI assigned

Aug 1, 2017

Last updated

Jul 21, 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

Credentials

Master of Science

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194249094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 BEAR HILL RD STE 105",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511063",
            "telephone_number": "781-895-9500",
            "fax_number": "781-895-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 BEAR HILL RD STE 105",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511063",
            "telephone_number": "781-895-9500",
            "fax_number": "781-895-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ANTWERP",
        "first_name": "MICHAELA",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MA",
            "license": "12384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usaseniorcare, Inc (Home Instead Senior Care of Waltham)
• Brittany Anne Utset
• Dorothy Mary Vacca, ED.D.
• Ximena A Valderrama Cano
• John George Valentino, D.M.D.
• Geoffrey J Van Flandern, MD
• Ellen Van Wert, PT
• Erik R Vandendries, M.D.
• Maureen Cleveland Vanhoesen, NP
• Kristine Beckvar Vanlenten, NP-C, APRN, BC

• Neurorehabilitation Occupational Therapist in Waltham, MA
• Providers in Waltham, MA by specialty
• Neurorehabilitation Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.