Provider Demographics
NPI:1902649007
Name:HAMILTON, ANTONE ASHTON (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ANTONE
Middle Name:ASHTON
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:ANTONE
Other - Middle Name:
Other - Last Name:HUGGINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:10427 JOHN GLENN ST
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2589
Mailing Address - Country:US
Mailing Address - Phone:914-308-8013
Mailing Address - Fax:
Practice Address - Street 1:8926 WOODYARD RD STE 501
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-4234
Practice Address - Country:US
Practice Address - Phone:301-719-1140
Practice Address - Fax:301-856-8215
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29974225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist