Active NPI
John Vincent Hammett III, PTA
- Physical Therapy Assistant
- Augusta, GA
National Provider Identifier
1326165242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA002219
- Practice address
- 1021 15TH St
Augusta, GA 30901-3158 - Phone
- (706) 828-7733
- NPI assigned
- Mar 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PTA002219 | GA | Primary |
Addresses
Primary practice location
1021 15TH St
Augusta, GA 30901-3158
Mailing address
612 Edisto Dr
North Augusta, SC 29841-2730
Phone (803) 279-6562
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 |
|---|---|---|---|
| PTA002219 | GA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326165242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 EDISTO DR",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298412730",
"telephone_number": "803-279-6562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309013158",
"telephone_number": "706-828-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMETT",
"first_name": "JOHN",
"middle_name": "VINCENT",
"name_suffix": "III",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA002219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.