Mitchell C. Hamric, PT, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH764 Issued in AL

Practice address

8097 Madison Blvd
#102
Madison, AL 35758-2044

Phone

(256) 461-7173

Fax

(256) 461-7175

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Complete Physical Therapy Spinal Restoration Associates, Inc.

  dba Complete Physical Therapy

  • Physical Therapist
  • Madison, AL
  • NPI 1780059972
  NPD (past) Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1053471193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8097 MADISON BLVD",
            "address_2": "#102",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582044",
            "telephone_number": "256-461-7173",
            "fax_number": "256-461-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8097 MADISON BLVD",
            "address_2": "#102",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582044",
            "telephone_number": "256-461-7173",
            "fax_number": "256-461-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRIC",
        "first_name": "MITCHELL",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "PT, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-ACTIVE P.T.",
            "identifier": "51520412",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-COMPLETE P.T.",
            "identifier": "51072058",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Halo Homecare LLC
• Maximillian Alexander Hamke, MA, LPC
• Chloe Allyn Hammick, ALC
• Jasmine L Hammonds, CBS, CBE, CFD, LD
• Dana Hampson, LPC
• Ashley Nichole Hanback, CRNP
• Hanging Lanes Christian Wellness Ministries and Counseling Center
• Chelsea Smith Hankins, RN,MSN
• Leigh Anne Hansard, PHARM D
• Jill Suzanne Harbin, DC

• Physical Therapist in Madison, AL
• Providers in Madison, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.