Active NPI
Tamar A. Hamilton, PHYSICAL THERAPIST
- Physical Therapist
- Canton, NY
National Provider Identifier
1205936267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0124051
- Practice address
- 4 Commerce Lane
Cpa of the North County
Canton, NY 13617 - Phone
- (315) 386-8191
- Fax
- (315) 386-1410
- NPI assigned
- Sep 22, 2006
- 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 | 0124051 | NY | Primary |
Addresses
Primary practice location
4 Commerce Lane
Cpa of the North County
Canton, NY 13617
Mailing address
313 Judson St Rd
Canton, NY 13617
Phone (315) 386-2713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01995615 | Medicaid | NY |
Other names 1
- Miss Tamar A. Butler
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0124051 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1205936267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 JUDSON ST RD",
"city": "CANTON",
"state": "NY",
"postal_code": "13617",
"telephone_number": "315-386-2713",
"fax_number": "315-386-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 COMMERCE LANE",
"address_2": "CPA OF THE NORTH COUNTY",
"city": "CANTON",
"state": "NY",
"postal_code": "13617",
"telephone_number": "315-386-8191",
"fax_number": "315-386-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "TAMAR",
"middle_name": "A.",
"name_prefix": "Miss",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0124051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01995615",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAMAR",
"last_name": "BUTLER",
"middle_name": "A.",
"prefix": "MISS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Canton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.