Jordan Hawkins, OTR/L

Individual provider Active NPI Occupational Therapist · Ellenboro, NC

NPI 1215380480 · NPPES record last updated Mar 10, 2026

Key facts

NPI
1215380480
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
13655 (NC)
Practice address
813 Piney Mountain Church Rd
Ellenboro, NC 28040-8656
Phone
(828) 453-8185
NPI assigned
Jul 22, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 13655 NC Yes

Addresses

Primary practice location

813 Piney Mountain Church Rd
Ellenboro, NC 28040-8656

Mailing address

1695 New House Rd
Ellenboro, NC 28040-6778
Phone (828) 447-3238

Other providers in Ellenboro, NC

All providers in Ellenboro, NC · Occupational Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.