Individual provider Active NPI

Adria B Hawthorne, OTR

  • Occupational Therapist
  • Washington, IN
National Provider Identifier
1134494883
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31006189A Issued in IN
Practice address
1211 S Meridian St Ste 1
Washington, IN 47501-4228
Phone
(812) 698-0198
Fax
(812) 254-2033
NPI assigned
Mar 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31006189A IN Primary

Addresses

Primary practice location

1211 S Meridian St Ste 1
Washington, IN 47501-4228

Mailing address

7676 S 250 E
Washington, IN 47501-8031
Phone (812) 698-0198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170215001802 IN Practitioner - Occupational Therapist in Private Practice 0143503201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

102 E Van Trees St
Washington, IN 47501-2943
Phone (812) 698-5422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovation Therapy, LLC. Occupational Therapist CurrentSince Feb 19, 2020 Accepting new patients
Martin County Urgent Care LLC PastSince Aug 13, 2023 Accepting new patients
Movement Clinic, LLC PastSince Feb 1, 2020 Accepting new patients

Locations

1211 S Meridian St
Ste 1
Washington, IN 47501
Phone (812) 254-2203

933 S State Road 57
Washington, IN 47501
Phone (812) 202-7070

102 E Van Trees St
Washington, IN 47501
Phone (812) 617-6005

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1134494883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7676 S 250 E",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475018031",
            "telephone_number": "812-698-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S MERIDIAN ST STE 1",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014228",
            "telephone_number": "812-698-0198",
            "fax_number": "812-254-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "ADRIA",
        "middle_name": "B",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31006189A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.