Active NPI
Paul Xavier Hamilton, CMT, MMS
- Massage Therapist
- Fort Lauderdale, FL
National Provider Identifier
1679883649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 45141
- 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, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 45141 | FL | MD | Reflexologist |
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.