Active NPI
Holly Ann Hamilton, P.T.
- Physical Therapist
- Morenci, AZ
National Provider Identifier
1144436684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9118
- Practice address
- 401 Burro Aly
Morenci, AZ 85540-9647 - Phone
- (928) 633-6733
- NPI assigned
- May 14, 2007
- Last updated
- Aug 21, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9118 | AZ | Primary |
Addresses
Primary practice location
401 Burro Aly
Morenci, AZ 85540-9647
Mailing address
7430E Pinnacle Peak Rd 138
Scottsdale, AZ 85255-3630
Phone (480) 502-4324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9118 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petkov Bodywork Therapy, LLC | Current | Accepting new patients | |
| Capptcg, LLC | Physical Therapist | Current | Accepting new patients |
| Allone Healthcare | Current | Accepting new patients |
Organizations & group practices 3
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.
-
dba AllOne Mobile Healthcare
- Physical Rehabilitation Occupational Therapist
- Glendale, AZ
- NPI 1386271690
-
- Physical Therapy Clinic/Center
- Phoenix, AZ
- NPI 1952122061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1144436684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7430E PINNACLE PEAK RD 138",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852553630",
"telephone_number": "480-502-4324",
"fax_number": "480-502-1397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BURRO ALY",
"city": "MORENCI",
"state": "AZ",
"postal_code": "855409647",
"telephone_number": "928-633-6733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "HOLLY",
"middle_name": "ANN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "9118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morenci, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.