Robert Allen Hawkes, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1200782401 Issued in UT

Practice address

1551 S Renaissance TWN Dr
Suite 420 Sportsmed Physical Therapy
Bountiful, UT 84010

Phone

(801) 295-8999

Fax

(801) 292-4168

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sportsmed Physical Therapy of Bountiful a Professional Corp

  • Physical Therapy Clinic/Center
  • Bountiful, UT
  • NPI 1215119870
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013080753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 S RENAISSANCE TWN DR",
            "address_2": "SUITE 420 SPORTSMED PHYSICAL THERAPY",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "84010",
            "telephone_number": "801-295-8999",
            "fax_number": "801-292-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 S RENAISSANCE TWN DR",
            "address_2": "SUITE 420 SPORTSMED PHYSICAL THERAPY",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "84010",
            "telephone_number": "801-295-8999",
            "fax_number": "801-292-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKES",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "1200782401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brayden Michael Harvie
• Marc Stafford Harward, RPH
• Jenna Hashimoto, PHARMD
• Ashley Taylor Hastings I
• Chelsea Deann Hautamaki
• Jackie R Hawkins, LCSW
• Julia Louise Haywood-Breault, OT
• Sandra M Hazzard, NP-C
• Healing Anchor Counseling Services, LLC
• Healing Hands Home Health Care, Inc.

• Physical Therapist in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.