Provider Demographics
NPI:1255888533
Name:HAMILTON, JAMIE LEE (OTR/L, LAT, ATC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LEE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:OTR/L, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4995 CLIFTON MILL DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-1276
Mailing Address - Country:US
Mailing Address - Phone:440-539-1971
Mailing Address - Fax:
Practice Address - Street 1:703 S MAIN ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1098
Practice Address - Country:US
Practice Address - Phone:234-334-0044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-05
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0058222255A2300X
OHOT443796225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer