Provider Demographics
NPI:1053749481
Name:HAMILTON, ADAIR HODGES (BS, COTA/L)
Entity type:Individual
Prefix:
First Name:ADAIR
Middle Name:HODGES
Last Name:HAMILTON
Suffix:
Gender:
Credentials:BS, COTA/L
Other - Prefix:
Other - First Name:FAITH
Other - Middle Name:ADAIR
Other - Last Name:HODGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, COTA/L
Mailing Address - Street 1:7313 REDDFIELD CT
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2707
Mailing Address - Country:US
Mailing Address - Phone:864-871-1591
Mailing Address - Fax:
Practice Address - Street 1:4759 RESERVOIR RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-1921
Practice Address - Country:US
Practice Address - Phone:202-965-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-22
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOTA100000243224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant