Individual provider Active NPI

Andrew Hames, PTA

  • Physical Therapy Assistant
  • Dalton, GA
National Provider Identifier
1356099006
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA004380 Issued in GA
Practice address
1212 Broadrick Dr
Dalton, GA 30720-2503
Phone
(706) 270-8008
NPI assigned
Mar 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA004380 GA Primary

Addresses

Primary practice location

1212 Broadrick Dr
Dalton, GA 30720-2503

Mailing address

2212 Raintree Way
Dalton, GA 30720-3234
Phone (912) 777-2268

Other practice location 1

164 Nursing Home Cir
Blairsville, GA 30512-3117
Phone (706) 745-4948

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

LicenseStateTypeSpecialty
PTA004380GAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1356099006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 RAINTREE WAY",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203234",
            "telephone_number": "912-777-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202503",
            "telephone_number": "706-270-8008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 Nursing Home Cir",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "GA",
            "postal_code": "305123117",
            "country_code": "US",
            "telephone_number": "706-745-4948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMES",
        "first_name": "ANDREW",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-11",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.