Jennifer Ann Hawks, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3533 Issued in OR

Practice address

1032 SE Lane Ave
Roseburg, OR 97470-3956

Phone

(541) 784-7771

Fax

(205) 905-6010

NPI assigned

Aug 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jennifer Hawks Professional name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Body Essential Physical Therapy and Massage, LLC

  • Physical Therapist
  • Roseburg, OR
  • NPI 1396130894
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686441600000",
    "number": "1033341920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 OAKVIEW DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974719519",
            "telephone_number": "541-784-7771",
            "fax_number": "541-672-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 SE LANE AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703956",
            "telephone_number": "541-784-7771",
            "fax_number": "205-905-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "13630",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1396130894",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HAWKS",
            "credential": "MASSAGE THERAPIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Candace Marie Hatton, FNP
• Natasha D Hausotter, CHW
• Virginia M Hawes, MD
• Carmaleeta Quintella Hawkins
• Hawks Mountain Enterprises LLC
• Emma Haworth, CCC-SLP
• Brian Eugene Hayes, M.D.
• Christine Lauren Hayes
• Dora Haymond, RN
• Anthony Haynes

• Physical Therapist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.