Individual provider Active NPI

Shandra Nicole Hamilton, DPT

  • Physical Therapist
  • Clinton TWP, MI
National Provider Identifier
1598317281
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018948 Issued in MI
Practice address
15500 19 Mile Rd Ste 330
Clinton TWP, MI 48038-6313
Phone
(586) 412-0016
Fax
(586) 412-0117
NPI assigned
Jul 12, 2019
Last updated
Jul 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501018948 MI Primary

Addresses

Primary practice location

15500 19 Mile Rd Ste 330
Clinton TWP, MI 48038-6313

Mailing address

20000 Victor Pkwy Ste 100
Livonia, MI 48152-7027
Phone (734) 953-1745

Other practice location 1

3960 Patient Care Dr Ste 117
Lansing, MI 48911-4279
Phone (517) 325-0996

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shamilton@therecoveryproject.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191001000335 MI Practitioner - Physical Therapist in Private Practice 5991035107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Recovery Project, LLCGroup PAC ID 9739154311, 33 clinicians

Practice addresses (Care Compare)

11878 Hubbard St
Livonia, MI 48150-1733
Phone (734) 953-1745

15500 19 Mile Rd
Suite 330
Clinton TWP, MI 48038-6313
Phone (586) 412-0016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Recovery Project, LLC Physical Therapist CurrentSince Aug 20, 2019 Accepting new patients
Fare to Freedom Past Accepting new patients

Locations

15500 19 Mile Rd
Ste 330
Clinton Twp, MI 48038
Phone (586) 412-0016

3960 Patient Care Dr
Ste 117
Lansing, MI 48911
Phone (517) 325-0996

11878 Hubbard St
Livonia, MI 48150
Phone (734) 953-1745

11878 Hubbard St
Ste 100
Livonia, MI 48150
Phone (734) 743-2909

20000 Victor Pkwy
Ste 100
Livonia, MI 48152
Phone (734) 743-2909

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1598317281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20000 VICTOR PKWY STE 100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527027",
            "telephone_number": "734-953-1745",
            "fax_number": "734-953-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15500 19 MILE RD STE 330",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386313",
            "telephone_number": "586-412-0016",
            "fax_number": "586-412-0117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3960 Patient Care Dr Ste 117",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489114279",
            "country_code": "US",
            "telephone_number": "517-325-0996",
            "fax_number": "517-882-8940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "SHANDRA",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shamilton@therecoveryproject.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3960 Patient Care Dr Ste 117",
            "city": "Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "489114279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.