Active NPI
Denise Hamilton, PT
- Physical Therapist
- Yarmouth, ME
National Provider Identifier
1376659110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT486
- Practice address
- 688 Route 1
Yarmouth, ME 04096-6995 - Phone
- (207) 838-6107
- Fax
- (207) 846-6052
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PT486 | ME | Primary |
Addresses
Primary practice location
688 Route 1
Yarmouth, ME 04096-6995
Mailing address
12 Maplewood Ave
Yarmouth, ME 04096-5318
Phone (207) 838-6107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MN3464 | Other | ME | HARVARD PILGRIM HEALTH CA |
| 025267 | Other | ME | ANTHEM BLUE CROSS BLUE SH |
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 |
|---|---|---|---|
| PT486 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376659110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 MAPLEWOOD AVE",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040965318",
"telephone_number": "207-838-6107",
"fax_number": "207-846-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "688 ROUTE 1",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040966995",
"telephone_number": "207-838-6107",
"fax_number": "207-846-6052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "DENISE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT486",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CA",
"identifier": "MN3464",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "025267",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yarmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.