Individual provider Active NPI

Shirley Kate Hamilton, PT, DPT

  • Physical Therapist
  • Newton, MA
National Provider Identifier
1174752380
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009664 Issued in GA
Practice address
55 Chapel St Ste 30
Newton, MA 02458
Phone
(617) 618-9290
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT009664 GA Primary

Addresses

Primary practice location

55 Chapel St Ste 30
Newton, MA 02458

Mailing address

55 Chapel St Ste 30
Newton, MA 02458-1095
Phone (617) 618-9290

Other practice location 1

425 Centre St
Newton, MA 02458-2063
Phone (617) 244-1990

Other practice location 2

55 Chapel St Ste 30
Newton, MA 02458
Phone (617) 618-9290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151104000137 MA Practitioner - Physical Therapist in Private Practice 9638214836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Girl Fit Physical Therapy IncGroup PAC ID 7315227733, 9 clinicians

Practice addresses (Care Compare)

130 Rumford Ave
Suite 108
Auburndale, MA 02466-1367
Phone (617) 618-9290

405 Cochituate Rd
Suite 205
Framingham, MA 01701-4648
Phone (617) 618-9290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT009664GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Girl Fit Physical Therapy, Inc. Physical Therapist CurrentSince Aug 30, 2016 Accepting new patients
Marathon Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Jul 21, 2015 Accepting new patients
Sportscare Physical Therapy Inc Physical Therapist PastSince Jun 5, 2006 Accepting new patients
Marathon Physical Therapy and Sports Medicine, LLC Physical Therapist PastSince Jul 21, 2015 Accepting new patients

Locations

130 Rumford Ave
Ste 108
Auburndale, MA 02466
Phone (617) 618-9290

425 Centre St
Newton, MA 02458
Phone (617) 244-1990

55 Chapel St
Ste 1
Newton, MA 02458
Phone (501) 766-5283

250 E Main St
Norton, MA 02766
Phone (508) 285-5533

99 Vanderbilt Ave
Norwood, MA 02062
Phone (781) 352-5400

Organizations & group practices 4

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1174752380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CHAPEL ST STE 30",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581095",
            "telephone_number": "617-618-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CHAPEL ST STE 30",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02458",
            "telephone_number": "617-618-9290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Centre St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "024582063",
            "country_code": "US",
            "telephone_number": "617-244-1990",
            "fax_number": "617-244-1811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Chapel St Ste 30",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MA",
            "postal_code": "02458",
            "country_code": "US",
            "telephone_number": "617-618-9290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "SHIRLEY",
        "middle_name": "KATE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.