Active NPI
Casey Hamilton, PTA, ATC
- Physical Therapy Assistant
- Erie, PA
National Provider Identifier
1063822807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TE011206
- Practice address
- 2318 Lakeview Dr
Erie, PA 16506-6406 - Phone
- (440) 915-6831
- NPI assigned
- May 1, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT005628 | PA | |
| Physical Therapy Assistant | 225200000X | TE011206 | PA | Primary |
Addresses
Primary practice location
2318 Lakeview Dr
Erie, PA 16506-6406
Mailing address
2318 Lakeview Dr
Erie, PA 16506-6406
Phone (440) 915-6831
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 |
|---|---|---|---|
| TE011206 | PA | MD | Physical Therapy Assistant |
| RT005628 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1063822807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 LAKEVIEW DR",
"city": "ERIE",
"state": "PA",
"postal_code": "165066406",
"telephone_number": "440-915-6831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2318 LAKEVIEW DR",
"city": "ERIE",
"state": "PA",
"postal_code": "165066406",
"telephone_number": "440-915-6831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "CASEY",
"credential": "PTA, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-01",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT005628",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE011206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.