Active NPI
Daryll Hamilton, OT
- Occupational Therapist
- Phelps, KY
National Provider Identifier
1013164045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- R2281
- Practice address
- 60 Phillips Branch Rd
Phelps, KY 41553-9061 - Phone
- (606) 456-8725
- Fax
- (606) 456-4938
- NPI assigned
- Aug 21, 2008
- Last updated
- Aug 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | R2281 | KY | Primary |
Addresses
Primary practice location
60 Phillips Branch Rd
Phelps, KY 41553-9061
Mailing address
60 Phillips Branch Rd
Phelps, KY 41553-9061
Phone (606) 456-8725
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
| License | State | Type | Specialty |
|---|---|---|---|
| R2281 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1013164045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 PHILLIPS BRANCH RD",
"city": "PHELPS",
"state": "KY",
"postal_code": "415539061",
"telephone_number": "606-456-8725",
"fax_number": "606-456-4938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 PHILLIPS BRANCH RD",
"city": "PHELPS",
"state": "KY",
"postal_code": "415539061",
"telephone_number": "606-456-8725",
"fax_number": "606-456-4938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "DARYLL",
"name_prefix": "Mr.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-21",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R2281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phelps, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.