Individual provider Active NPI

Annamaria Sanantonio, MT MASSAGE THERAPIST

  • Massage Therapist
  • Lincoln, MA
National Provider Identifier
1407015258
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
534 Issued in MA
Practice address
62A Conant Rd
Lincoln, MA 01773-0563
Phone
(781) 259-0864
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
Yes

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
534MAMDMassage Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 534 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

62A Conant Rd
Lincoln, MA 01773-0563

Mailing address

Pob 563
Lincoln, MA 01773-0563
Phone (781) 259-0864

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 6, 2008.

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1407015258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 563",
            "city": "LINCOLN",
            "state": "MA",
            "postal_code": "017730563",
            "telephone_number": "781-259-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62A CONANT RD",
            "city": "LINCOLN",
            "state": "MA",
            "postal_code": "017730563",
            "telephone_number": "781-259-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANANTONIO",
        "first_name": "ANNAMARIA",
        "name_prefix": "Ms.",
        "credential": "MT MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.