Samuel Bismark Donkor

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

9350 Issued in MA

Practice address

600 Laurel St
Lee, MA 01238-3800

Phone

(413) 243-4747

NPI assigned

Jan 4, 2021

Last updated

Jan 4, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• 620A Laurel Street Operator LLC

  dba The Landing at Laurel Lake

  • Skilled Nursing Facility
  • Lee, MA
  • NPI 1134645245
  NPD
• Saint-Pierre Home Health Care

  dba St. Pierre Home Health Care

  • Home Health Registered Nurse
  • Pittsfield, MA
  • NPI 1710696489
  NPD
• Massachusetts Assisted Living LLC

  dba The Village at Laurel Lake

  • Assisted Living Facility
  • Lee, MA
  • NPI 1093930364
  NPD (past)

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1700474087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WESTMINISTER ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012013518",
            "telephone_number": "413-770-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LAUREL ST",
            "city": "LEE",
            "state": "MA",
            "postal_code": "012383800",
            "telephone_number": "413-243-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONKOR",
        "first_name": "SAMUEL",
        "middle_name": "BISMARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "9350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "000000000",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lee",
            "affiliation": "N",
            "endpointDescription": "unknown",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "casamba",
            "address_1": "600 Laurel St",
            "city": "Lee",
            "state": "MA",
            "country_code": "US",
            "postal_code": "012383800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Consolati, MD
• Robin Mary Coulehan, PSYCHOLOGIST
• Erin D'Avella, PMHNP
• Ajay R Desai, PHARMD
• Michael George Dominov, DDS
• Kaitlynn Drees
• Charly El-Zoghbi
• Amatollah Elsirafy, OTD
• Curtis Fecteau
• Alyssa L Felver

• Physical Therapy Assistant in Lee, MA
• Providers in Lee, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.