| Gregory Eugene Hamilton Jr, PT | |
|
1790 S Fairview Ave, Decatur, IL 62521-4010 | |
| (217) 429-2551 | |
| (217) 422-6453 |
| Full Name | Gregory Eugene Hamilton Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1790 S Fairview Ave, Decatur, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376806836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.012312 (Illinois) | Primary |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Eugene Hamilton Jr, PT 1790 S Fairview Ave, Decatur, IL 62521-4010 Ph: (217) 429-2551 | Gregory Eugene Hamilton Jr, PT 1790 S Fairview Ave, Decatur, IL 62521-4010 Ph: (217) 429-2551 |
Jaclyn Nicole Kleman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2600 Fax: 217-876-2615 | |
Don Michael Kyle Sr., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3122 Brettwood Cir, Decatur, IL 62526 Phone: 217-876-4600 | |
Jaycee Cabalatungan Cristales, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 136 S Dipper Ln, Decatur, IL 62522 Phone: 217-428-7767 | |
Mrs. Elizabeth Komnick, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 N. Edward St., Decatur, IL 62526 Phone: 217-876-2600 Fax: 217-876-2615 | |
Mrs. Linda Sue Miller I, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 Fax: 217-876-2261 | |
Morgan Belskamper, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2600 | |
Zack Shaw, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4855-57 East 36, Decatur, IL 62521 Phone: 217-864-1264 Fax: 217-864-1828 |