Individual provider Active NPI

Elizabeth W Hamilton, PT, DPT

  • Physical Therapist
  • Evans, GA
National Provider Identifier
1376160150
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014632 Issued in GA
Practice address
415 Town Park Blvd
Evans, GA 30809-3487
Phone
(706) 760-3853
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT014632 GA Primary

Addresses

Primary practice location

415 Town Park Blvd
Evans, GA 30809-3487

Mailing address

415 Town Park Blvd
Evans, GA 30809-3487
Phone (706) 760-3853

Other practice location 1

1001 Village Park Dr Ste 105
Greensboro, GA 30642-5101
Phone (706) 868-1707

Other practice location 2

5003 Steiner Way Ste 2
Grovetown, GA 30813-5018
Phone (706) 868-1707

Other practice location 3

2115 Windsor Spring Rd Ste 23
Augusta, GA 30906-4883
Phone (706) 860-5888

Other practice location 4

150 Main St
Thomson, GA 30824-2662
Phone (706) 868-1707

Other practice location 5

117 Harmony Xing Ste 4
Eatonton, GA 31024-9548
Phone (706) 454-1811

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200709002827 GA Practitioner - Physical Therapist in Private Practice 0941623979 Reassigns benefits to 1 organization
I20220503000175 SC Practitioner - Physical Therapist in Private Practice 0941623979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mercer University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evans Rehabilitation Services, LLCGroup PAC ID 2769467034, 20 clinicians

Practice addresses (Care Compare)

415 Town Park Blvd
Evans, GA 30809-3487
Phone (706) 868-1707

Merit-based Incentive Payment System (MIPS)

Final score
79.48 of 100Reported as group
Quality
56.49
Promoting interoperability
100
Improvement activities
40
Cost
75.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014632GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Rehabilitation Services, LLC Physical Therapist CurrentSince Jun 29, 2020 Accepting new patients
Augusta Orthopedic & Sports Medicine Specialists PC CurrentSince Jan 21, 2022 Accepting new patients
Lake Oconee Rehabilitation and Performance Center, LLC PastSince Jan 7, 2019 Accepting new patients
Augusta Orthopedic & Sports Medicine Specialists PC Past Accepting new patients

Locations

2115 Windsor Spring Rd
Ste 23
Augusta, GA 30906
Phone (706) 793-6211

2115 Windsor Spring Rd
Ste 2300
Augusta, GA 30906

117 Harmony Xing
Ste 4
Eatonton, GA 31024
Phone (678) 936-0273

415 Town Park Blvd
Evans, GA 30809
Phone (706) 690-4372

1001 Village Park Dr
Ste 105
Greensboro, GA 30642
Phone (706) 454-2000

5003 Steiner Way
Ste 2
Grovetown, GA 30813

150 Main St
Thomson, GA 30824
Phone (706) 595-1090

410 University Pkwy
Ste 1000
Aiken, SC 29801
Phone (803) 644-4264

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23890/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1376160150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 TOWN PARK BLVD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093487",
            "telephone_number": "706-760-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 TOWN PARK BLVD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093487",
            "telephone_number": "706-760-3853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Village Park Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "306425101",
            "country_code": "US",
            "telephone_number": "706-868-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5003 Steiner Way Ste 2",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308135018",
            "country_code": "US",
            "telephone_number": "706-868-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 Windsor Spring Rd Ste 23",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309064883",
            "country_code": "US",
            "telephone_number": "706-860-5888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Main St",
            "address_purpose": "LOCATION",
            "city": "Thomson",
            "state": "GA",
            "postal_code": "308242662",
            "country_code": "US",
            "telephone_number": "706-868-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Harmony Xing Ste 4",
            "address_purpose": "LOCATION",
            "city": "Eatonton",
            "state": "GA",
            "postal_code": "310249548",
            "country_code": "US",
            "telephone_number": "706-454-1811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "ELIZABETH",
        "middle_name": "W",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.