Individual provider Active NPI

Liane Miller Hamilton, MS,OTRL

  • Pediatric Occupational Therapist
  • Cornelius, NC
National Provider Identifier
1609901941
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
3955 Issued in NC
Practice address
9606 Bailey Rd
Suite 250
Cornelius, NC 28031-6109
Phone
(704) 560-2170
Fax
(704) 896-7975
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 3955 NC Primary

Addresses

Primary practice location

9606 Bailey Rd
Suite 250
Cornelius, NC 28031-6109

Mailing address

5600 Swanston Dr
Charlotte, NC 28269-9141
Phone (704) 560-2170

Other identifiers 2

IdentifierTypeStateIssuer
7301282MedicaidNC
1185VOtherNCBLUE CROSS BLUE SHIELD

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3955NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Norman Children'S Therapy I, Inc Pediatrics PastSince Oct 8, 2023 Accepting new patients
Speech Discovery for Kids, Inc. PastSince Oct 1, 2023 Accepting new patients
Jennifer R Plummer Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609901941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 SWANSTON DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282699141",
            "telephone_number": "704-560-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9606 BAILEY RD",
            "address_2": "SUITE 250",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316109",
            "telephone_number": "704-560-2170",
            "fax_number": "704-896-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "LIANE",
        "middle_name": "MILLER",
        "name_prefix": "Mrs.",
        "credential": "MS,OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "3955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301282",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1185V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.