Jennifer Lorraine Hamlin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502001930 Issued in MI

Practice address

280 W 40TH St
Holland, MI 49423-4664

Phone

(616) 796-3600

NPI assigned

Nov 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lorraine Monroe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541894400000",
    "number": "1912475690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 PRESERVATION DR",
            "city": "HAMILTON",
            "state": "MI",
            "postal_code": "494199692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 W 40TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234664",
            "telephone_number": "616-796-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5885 Preservation Dr",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "MI",
            "postal_code": "494199692",
            "country_code": "US",
            "telephone_number": "616-610-9164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMLIN",
        "first_name": "JENNIFER",
        "middle_name": "LORRAINE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-11",
        "last_updated": "2018-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502001930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MONROE",
            "middle_name": "LORRAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Raechel Haller, LMT
• Steven James Hamberg, MD
• Jeanine Hamilton
• Lisa Hamilton, P.T.
• Olivia Nicole Hamilton
• Jacobus Johannes Hamman, M.DIV, TH.M, PH.D
• Lynden Hamstra, RN
• Stacie L Hamstra, LBSW
• Esmina Hamzagic, BSW
• Karen Hanenburg

• Physical Therapy Assistant in Holland, MI
• Providers in Holland, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2018; 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.