Blake L Hamilton, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20573 Issued in MD

Practice address

1360 Blair Dr Ste D
Odenton, MD 21113-1343

Phone

(410) 672-8970

NPI assigned

Mar 22, 2007

Last updated

Apr 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maximum Performance Physical Therapy, IncGroup PAC ID 2062324601, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Maximum Performance Physical Therapy, Inc

  • Physical Therapist
  • Odenton, MD
  • NPI 1558522318
  Medicare reassignment Care Compare group NPD
• Maximum Performance Physical Therapy, Inc

  • Physical Therapist
  • Laurel, MD
  • NPI 1861600868

  DC

  Medicare reassignment NPD
• Maximum Performance Physical Therapy, Inc

  • Physical Therapist
  • Columbia, MD
  • NPI 1740790112
  NPD
• Cypress Creek Therapy Associates LLC

  • Physical Therapist
  • Severna Park, MD
  • NPI 1487603064
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1407972110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 BLAIR DR",
            "address_2": "STE D",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131343",
            "telephone_number": "615-778-4066",
            "fax_number": "615-778-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 BLAIR DR STE D",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131343",
            "telephone_number": "410-672-8970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14435 Cherry Lane Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207074991",
            "country_code": "US",
            "telephone_number": "301-776-3665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "BLAKE",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grey Phoenix LLC (Avender Health Services)
• Perryn Gutkowski
• Reina Marie M Guzman
• H&H Healthcare Services Inc
• Christopher Hahn, DDS
• Oriana Michelle Hancock, DPT
• Harmonious Living Chiropractic: Fitness & Wellness Center, LLC
• Janai Harrington
• Angela D Harris, LCPC
• Edward Lashawn Harvey

• Physical Therapist in Odenton, MD
• Providers in Odenton, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.