Active NPI
Derval Hamilton, PT, DPT
- Physical Therapist
- Lenoir, NC
National Provider Identifier
1356898605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P16119
- Practice address
- 1031 Morganton Blvd SW
Lenoir, NC 28645-5677 - Phone
- (828) 757-6226
- Fax
- (828) 757-6289
- NPI assigned
- Sep 3, 2016
- 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 Therapist | 225100000X | P16119 | NC | Primary |
Addresses
Primary practice location
1031 Morganton Blvd SW
Lenoir, NC 28645-5677
Mailing address
PO Box 1890
Lenoir, NC 28645-1890
Phone (828) 757-6226
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 |
|---|---|---|---|
| P16119 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472860800000",
"number": "1356898605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1890",
"city": "LENOIR",
"state": "NC",
"postal_code": "286451890",
"telephone_number": "828-757-6226",
"fax_number": "828-757-6289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 MORGANTON BLVD SW",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455677",
"telephone_number": "828-757-6226",
"fax_number": "828-757-6289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "DERVAL",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-03",
"last_updated": "2016-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P16119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lenoir, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.