Shane E Hamman, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-3309 Issued in HI

Practice address

932 Ward Ave
7TH Floor
Honolulu, HI 96814-2131

Phone

(808) 381-8947

Fax

(808) 396-6358

NPI assigned

Jan 17, 2011

Last updated

Nov 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jaco Van Delden Physical Rehabilitation LLC

  • Physical Therapist
  • Honolulu, HI
  • NPI 1063746196
  NPD (past)

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1558666925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 LUCERNE ST",
            "address_2": "STE B",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234360",
            "telephone_number": "808-381-8947",
            "fax_number": "808-396-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 WARD AVE",
            "address_2": "7TH FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142131",
            "telephone_number": "808-381-8947",
            "fax_number": "808-396-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMAN",
        "first_name": "SHANE",
        "middle_name": "E",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-17",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-3309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "99-0353213",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Hamilton
• Daniella R. Hamilton
• Michael James Hamilton, LAC
• Samantha Hamilton
• Tiffany Lin Hamilton, APRN
• Suzanne Mary Hammer, MD
• Katinka B. Hammerich, LCSW
• Eric F Hammermeister
• Kealakai-Malie Suzanne Hammond, LMHC
• Kaylen Hamora

• Physical Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.