Individual provider Active NPI

Nancy Hamlin, PTA

  • Physical Therapy Assistant
  • Sarasota, FL
National Provider Identifier
1417291105
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA19740 Issued in FL
Practice address
8400 Vamo Rd
Sarasota, FL 34231-7807
Phone
(941) 966-5611
NPI assigned
Nov 19, 2012
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA19740 FL Primary
Massage Therapist 225700000X MA10626 FL

Addresses

Primary practice location

8400 Vamo Rd
Sarasota, FL 34231-7807

Mailing address

3663 Bobko Cir
North Port, FL 34291-5360

Other practice location 1

303 N Hurstbourne Pkwy
Suite 200
Louisville, KY 40222-5185
Phone (502) 412-5847

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

LicenseStateTypeSpecialty
PTA19740FLMDPhysical Therapy Assistant
MA10626FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1417291105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 BOBKO CIR",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342915360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 VAMO RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342317807",
            "telephone_number": "941-966-5611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 N Hurstbourne Pkwy",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402225185",
            "country_code": "US",
            "telephone_number": "502-412-5847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMLIN",
        "first_name": "NANCY",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA19740",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA10626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.