Individual provider Active NPI

Paul Xavier Hamilton, CMT, MMS

  • Massage Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1679883649
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
45141 Issued in FL
Practice address
3511 W Commercial Blvd
Suite 212
Ft Lauderdale, FL 33309-3331
Phone
(954) 692-4555
Fax
(954) 597-6112
NPI assigned
Oct 8, 2010
Last updated
Oct 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 45141 FL
Specialist 174400000X 45141 FL
Massage Therapist 225700000X 45141 FL Primary
Reflexologist 173C00000X 45141 FL

Addresses

Primary practice location

3511 W Commercial Blvd
Suite 212
Ft Lauderdale, FL 33309-3331

Mailing address

3411 Barton Rd
Pompano Beach, FL 33062-2902
Phone (954) 692-4555

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

LicenseStateTypeSpecialty
45141FLMDReflexologist

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1679883649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 BARTON RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330622902",
            "telephone_number": "954-692-4555",
            "fax_number": "954-597-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 W COMMERCIAL BLVD",
            "address_2": "SUITE 212",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093331",
            "telephone_number": "954-692-4555",
            "fax_number": "954-597-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "PAUL",
        "middle_name": "XAVIER",
        "name_prefix": "Mr.",
        "credential": "CMT, MMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "45141",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "45141",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "45141",
            "primary": true
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "FL",
            "license": "45141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.