Individual provider Active NPI

Jennifer Renee Hamilton, DPT

  • Physical Therapist
  • Fayetteville, NC
National Provider Identifier
1821296989
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P11187 Issued in NC
Practice address
6000 Ramsey St Ste 108
Fayetteville, NC 28311-7189
Phone
(910) 484-3332
Fax
(910) 483-7301
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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 P11187 NC Primary

Addresses

Primary practice location

6000 Ramsey St Ste 108
Fayetteville, NC 28311-7189

Mailing address

6000 Ramsey St Ste 108
Fayetteville, NC 28311-7189
Phone (910) 484-3332

Other practice location 1

4251 Legion Rd Ste 107
Hope Mills, NC 28348-6200
Phone (910) 429-0600

Other identifiers 1

IdentifierTypeStateIssuer
11187OtherNCNC STATE LICENCE

Other names 1

  • Jennifer Renee Hencel Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070821000351 NC Practitioner - Physical Therapist in Private Practice 6103918206 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6000 Ramsey St
Suite 108
Fayetteville, NC 28311-7189
Phone (910) 484-3332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Dec 10, 2014 Accepting new patients
Cape Fear Orthopaedic Clinic, P.a. Physical Therapist CurrentSince May 1, 2018 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 28, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC Physical Therapist Current Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 28, 2024 Accepting new patients
Cape Fear Orthopaedic Clinic, PA Physical Therapist CurrentSince May 1, 2018 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1613 Walnut St
Cary, NC 27511
Phone (919) 290-2799

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

6000 Ramsey St
Ste 108
Fayetteville, NC 28311
Phone (910) 484-3332

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

4251 Legion Rd
Hope Mills, NC 28348
Phone (910) 429-0600

4251 Legion Rd
Ste 107
Hope Mills, NC 28348
Phone (910) 429-0600

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jennifer.hamilton.p12@direct.athleticoltd.nextgenshare.com

Organizations & group practices 6

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1821296989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 RAMSEY ST STE 108",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117189",
            "telephone_number": "910-484-3332",
            "fax_number": "910-483-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 RAMSEY ST STE 108",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117189",
            "telephone_number": "910-484-3332",
            "fax_number": "910-483-7301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4251 Legion Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Hope Mills",
            "state": "NC",
            "postal_code": "283486200",
            "country_code": "US",
            "telephone_number": "910-429-0600",
            "fax_number": "910-429-0602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P11187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE LICENCE",
            "identifier": "11187",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HENCEL",
            "middle_name": "RENEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.