Active NPI
Nicole Hammond
- Physical Therapist
- Mahopac, NY
National Provider Identifier
1568007680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 043876
- Practice address
- 12 Summit Rd
Mahopac, NY 10541-3141 - Phone
- (845) 803-2920
- NPI assigned
- Nov 13, 2019
- Last updated
- Sep 23, 2026
- 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 | 043876 | NY | Primary |
Addresses
Primary practice location
12 Summit Rd
Mahopac, NY 10541-3141
Mailing address
55 E Meadowbrook Lane
Staatsburg, NY 12580
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 |
|---|---|---|---|
| 043876 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1568007680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 E MEADOWBROOK LANE",
"city": "STAATSBURG",
"state": "NY",
"postal_code": "12580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 SUMMIT RD",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105413141",
"telephone_number": "845-803-2920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-13",
"last_updated": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "043876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mahopac, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.