Active NPI
Katrina Rose Hamer, PTA
- Physical Therapy Assistant
- Geneva, NY
National Provider Identifier
1174074819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 010490-1
- Practice address
- 821 Pre Emption Rd
Suite 200
Geneva, NY 14456-2061 - Phone
- (315) 325-4422
- Fax
- (315) 325-4373
- NPI assigned
- Oct 18, 2016
- 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 Therapy Assistant | 225200000X | 010490-1 | NY | Primary |
Addresses
Primary practice location
821 Pre Emption Rd
Suite 200
Geneva, NY 14456-2061
Mailing address
821 Pre Emption Rd
Suite 200
Geneva, NY 14456-2061
Phone (315) 325-4422
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 |
|---|---|---|---|
| 010490-1 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1174074819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 PRE EMPTION RD",
"address_2": "SUITE 200",
"city": "GENEVA",
"state": "NY",
"postal_code": "144562061",
"telephone_number": "315-325-4422",
"fax_number": "315-325-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 PRE EMPTION RD",
"address_2": "SUITE 200",
"city": "GENEVA",
"state": "NY",
"postal_code": "144562061",
"telephone_number": "315-325-4422",
"fax_number": "315-325-4373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMER",
"first_name": "KATRINA",
"middle_name": "ROSE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-18",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "010490-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Geneva, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.