Active NPI
Denise J Hawkins, P.T.A.
- Physical Therapy Assistant
- McMinnville, OR
National Provider Identifier
1073899480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA10820
- Practice address
- 300 NW Hillside Pkwy
McMinnville, OR 97128-9567 - Phone
- (503) 472-9534
- NPI assigned
- Oct 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA10820 | FL | Primary |
Addresses
Primary practice location
300 NW Hillside Pkwy
McMinnville, OR 97128-9567
Mailing address
5753 Highway 85 N
#3287
Crestview, FL 32536-9365
Phone (941) 224-3705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA10820 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1073899480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5753 HIGHWAY 85 N",
"address_2": "#3287",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325369365",
"telephone_number": "941-224-3705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 NW HILLSIDE PKWY",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971289567",
"telephone_number": "503-472-9534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "DENISE",
"middle_name": "J",
"credential": "P.T.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-30",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA10820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.