Individual provider Active NPI

Samantha Jean Troy

  • Developmental Therapist
  • Milford, MA
National Provider Identifier
1306274592
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
S62919214 Issued in MA
Practice address
345 Fortune Blvd
Milford, MA 01757-1723
Phone
(781) 321-0645
Fax
(781) 321-0679
NPI assigned
Oct 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X S62919214 MA Primary

Addresses

Primary practice location

345 Fortune Blvd
Milford, MA 01757-1723

Mailing address

10 Philip St
Haverhill, MA 01830-2722
Phone (978) 821-4983

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

State licenses

LicenseStateTypeSpecialty
S62919214MAMDDevelopmental Therapist

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1306274592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PHILIP ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302722",
            "telephone_number": "978-821-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 FORTUNE BLVD",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571723",
            "telephone_number": "781-321-0645",
            "fax_number": "781-321-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROY",
        "first_name": "SAMANTHA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "MA",
            "license": "S62919214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.