Individual provider Active NPI

Ramon Alexander Hamilton, DPT

  • Physical Therapist
  • Taos, NM
National Provider Identifier
1164037263
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0015430 Issued in CO
Practice address
101 Herdner Rd Unit C
Taos, NM 87571-5362
Phone
(575) 613-1093
Fax
(575) 613-1093
NPI assigned
Sep 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiopulmonary Physical Therapist 2251C2600X PTL.0015430 CO
Ergonomics Physical Therapist 2251E1200X PTL.0015430 CO
Geriatric Physical Therapist 2251G0304X PTL.0015430 CO
Neurology Physical Therapist 2251N0400X PTL.0015430 CO
Pediatric Physical Therapist 2251P0200X PTL.0015430 CO
Sports Physical Therapist 2251S0007X PTL.0015430 CO
Orthopedic Physical Therapist 2251X0800X PTL.0015430 CO
Physical Therapist 225100000X PTL.0015430 CO Primary

Addresses

Primary practice location

101 Herdner Rd Unit C
Taos, NM 87571-5362

Mailing address

540 Don Nicholas Rd
Taos, NM 87571-6437
Phone (917) 583-7681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201102000148 NM Practitioner - Physical Therapist in Private Practice 2466862594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hometown Care LLCGroup PAC ID 2466746151, 8 clinicians

Practice addresses (Care Compare)

834 Paseo del Pueblo Sur
Taos, NM 87571-6758
Phone (575) 613-1093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0015430COMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Care, LLC Physical Therapist CurrentSince Sep 29, 2020 Accepting new patients

Locations

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

834 Paseo del Pueblo Sur
Taos, NM 87571
Phone (575) 418-6787

101 Herdner Rd
Unit C
Taos, NM 87571
Phone (575) 613-1093

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1164037263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 DON NICHOLAS RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716437",
            "telephone_number": "917-583-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HERDNER RD UNIT C",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715362",
            "telephone_number": "575-613-1093",
            "fax_number": "575-613-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "RAMON",
        "middle_name": "ALEXANDER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "CO",
            "license": "PTL.0015430",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CO",
            "license": "PTL.0015430",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CO",
            "license": "PTL.0015430",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CO",
            "license": "PTL.0015430",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CO",
            "license": "PTL.0015430",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CO",
            "license": "PTL.0015430",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "PTL.0015430",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.