Derik Charles Hamley, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20298 Issued in FL

Practice address

777 S Palm Ave
Suit 10
Sarasota, FL 34236-7770

Phone

(941) 330-1677

Fax

(941) 330-1688

NPI assigned

Mar 13, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• David Stevenson Physical Therapy Inc.

  • Physical Therapist
  • Sarasota, FL
  • NPI 1659359511
  NPD (past)

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1295976785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 VINSON WAY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342324240",
            "telephone_number": "941-342-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S PALM AVE",
            "address_2": "SUIT 10",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367770",
            "telephone_number": "941-330-1677",
            "fax_number": "941-330-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLEY",
        "first_name": "DERIK",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery T Hamer, ATC, LAT, CSCS
• Alan Scott Hamilton, MD
• Robert Accom Hamilton, M.D.
• Tina Kay Hamilton, PA-C
• Wilma Hamilton
• Nancy Hamlin, PTA
• Jodi Freedenberg Hamm, CNM
• Melody J Hamm, MFR, NMT,,MYO, DOULA
• Robin H. Hammack, ARNP
• Robert J. Hammond, DDS

• Physical Therapist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.