Active NPI
Hamilton Physical Therapy LLC
- Physical Therapist
- Fenton, MI
National Provider Identifier
1861851255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501010353
- Legal business name
- HAMILTON PHYSICAL THERAPY LLC
- Practice address
- 102 N Adelaide St
Ste B
Fenton, MI 48430-2670 - Phone
- (810) 354-8900
- Fax
- (810) 354-8902
- NPI assigned
- Feb 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Hamilton, PT, MPT, OCS
- Title
- President
- Phone
- (810) 354-8900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501010353 | MI | Primary |
Addresses
Primary practice location
102 N Adelaide St
Ste B
Fenton, MI 48430-2670
Mailing address
102 N Adelaide St
Ste B
Fenton, MI 48430-2670
Phone (810) 354-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
102 N Adelaide St
Ste B
Fenton, MI 48430
Phone (810) 354-8900
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Fenton, MI
- NPI 1497712731
-
- Physical Medicine & Rehabilitation Physician
- Fenton, MI
- NPI 1972994226
Physical Therapist
-
- Physical Therapist
- Owosso, MI
- NPI 1417414384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675382400000",
"number": "1861851255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 N ADELAIDE ST",
"address_2": "STE B",
"city": "FENTON",
"state": "MI",
"postal_code": "484302670",
"telephone_number": "810-354-8900",
"fax_number": "810-354-8902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 N ADELAIDE ST",
"address_2": "STE B",
"city": "FENTON",
"state": "MI",
"postal_code": "484302670",
"telephone_number": "810-354-8900",
"fax_number": "810-354-8902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMILTON PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-15",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A",
"authorized_official_last_name": "HAMILTON",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "810-354-8900",
"authorized_official_credential": "PT, MPT, OCS"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501010353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.