Active NPI
Antonius Dewayne Hamilton, OTR/L
- Occupational Therapist
- Tuscaloosa, AL
National Provider Identifier
1508091877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2996
- Practice address
- 403 34TH Ave E
Tuscaloosa, AL 35404-3327 - Phone
- (205) 368-8116
- Fax
- (205) 553-2673
- NPI assigned
- May 15, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2996 | AL | Primary |
| Certified Respiratory Therapist | 227800000X | 1034 | AL |
Addresses
Primary practice location
403 34TH Ave E
Tuscaloosa, AL 35404-3327
Mailing address
217 4TH Ave S
Birmingham, AL 35205-3231
Phone (205) 368-8116
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 |
|---|---|---|---|
| 2996 | AL | MD | Athletic Trainer |
| 1034 | AL | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242345600000",
"number": "1508091877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 4TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352053231",
"telephone_number": "205-368-8116",
"fax_number": "205-553-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 34TH AVE E",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354043327",
"telephone_number": "205-368-8116",
"fax_number": "205-553-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "ANTONIUS",
"middle_name": "DEWAYNE",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-15",
"last_updated": "2009-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "2996",
"primary": true
},
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "AL",
"license": "1034",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.