Individual provider Active NPI

Heather Hamilton Ross, MPT, PHD

  • Physical Therapist
  • Gainesville, GA
National Provider Identifier
1265803035
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012165 Issued in GA
Practice address
301 Main St SW
Brenau Downtown Center
Gainesville, GA 30501-3777
Phone
(678) 971-1835
NPI assigned
Oct 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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 PT012165 GA Primary

Addresses

Primary practice location

301 Main St SW
Brenau Downtown Center
Gainesville, GA 30501-3777

Mailing address

500 Washington St SE
Department of Physical Therapy
Gainesville, GA 30501-3628
Phone (678) 971-1835

Other names 1

  • Ms. Heather Renee Hamilton Former name

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1265803035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WASHINGTON ST SE",
            "address_2": "DEPARTMENT OF PHYSICAL THERAPY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013628",
            "telephone_number": "678-971-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST SW",
            "address_2": "BRENAU DOWNTOWN CENTER",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013777",
            "telephone_number": "678-971-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "HEATHER",
        "middle_name": "HAMILTON",
        "name_prefix": "Dr.",
        "credential": "MPT, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HAMILTON",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.