Individual provider Active NPI

Courtney Hamilton, OTR/L

  • Occupational Therapist
  • Flowery Branch, GA
National Provider Identifier
1356702138
Registry record updated Nov 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006970 Issued in GA
Practice address
6871 Kate LN
Flowery Branch, GA 30542-7404
Phone
(774) 535-3293
NPI assigned
Mar 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5235 SC
Occupational Therapist 225X00000X OT006970 GA Primary

Addresses

Primary practice location

6871 Kate LN
Flowery Branch, GA 30542-7404

Mailing address

6871 Kate LN
Flowery Branch, GA 30542-7404

Other practice location 1

538 White St
Hoschton, GA 30548-6021
Phone (774) 535-3293

Other practice location 2

3012 N Oakley Ave
Unit B
Chicago, IL 60618-8012
Phone (774) 535-3293

Other names 1

  • Courtney Spencer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210602002511 GA Practitioner - Occupational Therapist in Private Practice 9931508447 Reassigns benefits to 2 organizations
I20220825000888 SC Practitioner - Occupational Therapist in Private Practice 9931508447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6871 Kate LN
Flowery Branch, GA 30542-7404
Phone (774) 535-3293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5235SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Home Services LLC Occupational Therapist CurrentSince Jan 3, 2024 Accepting new patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Aug 1, 2022 Accepting new patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Aug 1, 2022 Accepting new patients
Empowerme Rehabilitation Georgia, LLC Occupational Therapist CurrentSince May 27, 2021 Accepting new patients

Locations

762 N Main St
Alpharetta, GA 30009
Phone (678) 268-6335

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

2333 Ashley River Rd
Charleston, SC 29414
Phone (843) 258-5538

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1356702138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6871 KATE LN",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305427404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6871 KATE LN",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305427404",
            "telephone_number": "774-535-3293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "538 White St",
            "address_purpose": "LOCATION",
            "city": "Hoschton",
            "state": "GA",
            "postal_code": "305486021",
            "country_code": "US",
            "telephone_number": "774-535-3293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3012 N Oakley Ave",
            "address_2": "Unit B",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606188012",
            "country_code": "US",
            "telephone_number": "774-535-3293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "COURTNEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "5235",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "SPENCER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flowery Branch, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.