Organization Active NPI

Hawk Associates Inc

  • Physical Therapist
  • Sandusky, MI
National Provider Identifier
1164403663
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501004236 Issued in MI
Legal business name
HAWK ASSOCIATES INC
Practice address
309 S Elk St
Sandusky, MI 48471
Phone
(810) 648-9626
Fax
(810) 648-9626
NPI assigned
Nov 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Mr. Tomas Jelinek, PTNPI 1508845819
Title
President
Phone
(810) 648-9626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501004236 MI Primary

Addresses

Primary practice location

309 S Elk St
Sandusky, MI 48471

Mailing address

309 S Elk St Ste 1
Sandusky, MI 48471-1329
Phone (810) 648-9626

Other identifiers 3

IdentifierTypeStateIssuer
650G657010OtherMIBCBSMI
4676225OtherMIAETNA
3182480MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090828000320 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9133135254 Receives reassigned benefits from 1 practitioner
Practice locations: Harbor Beach, MI; Sandusky, MI

National Provider Directory

National Provider Directory

Locations

55 Pack St
Harbor Beach, MI 48441
Phone (810) 648-9626

309 S Elk St
Sandusky, MI 48471
Phone (810) 648-9626

309 S Elk St
#1
Sandusky, MI 48471
Phone (810) 648-9626

169 W Argyle St
Sandusky, MI 48471
Phone (810) 648-9626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1164403663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S ELK ST STE 1",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711329",
            "telephone_number": "810-648-9626",
            "fax_number": "810-648-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S ELK ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "48471",
            "telephone_number": "810-648-9626",
            "fax_number": "810-648-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWK ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "JELINEK",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-648-9626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI",
            "identifier": "650G657010",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4676225",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3182480",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.