Nickolas Hawkins, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016780 Issued in MI

Practice address

131 E State St
Traverse City, MI 49684-2512

Phone

(517) 740-4298

NPI assigned

Jun 3, 2014

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 MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pursuit Physical TherapyGroup PAC ID 9436560778, 7 clinicians

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.

• Pursuit Physical Therapy

  • Physical Therapist
  • Kalkaska, MI
  • NPI 1750997631
  Medicare reassignment Care Compare group NPD
• Functional Dimensions LLC

  • Orthopedic Physical Therapist
  • Traverse City, MI
  • NPI 1780076232
  NPD

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1033522495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2035",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496462035",
            "telephone_number": "517-740-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E STATE ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842512",
            "telephone_number": "517-740-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "NICKOLAS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Kukuk Haubold, PHD
• Robert Louis Haubold, PHD
• Tracy Lynn Haver, R.PH.
• Samih Hawasli, M.D.
• Christine M Hawkins, FNP
• Hawthorn Hive LLC
• Judy Hayes Daly, MSW, ACSW
• Allison Hayes, MSW
• Laura Lynn Hayes
• Michael Patrick Hayes, PH.D.

• Physical Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.