Active NPI
Andrew Hames, PTA
- Physical Therapy Assistant
- Dalton, GA
National Provider Identifier
1356099006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA004380
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA004380 | GA | MD | Physical 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.