Individual provider Active NPI

Jeffrey Michael Hawkins, PT

  • Physical Therapist
  • Falls Church, VA
National Provider Identifier
1275771776
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305205598 Issued in VA
Practice address
803 W Broad St
Suite 600
Falls Church, VA 22046-3130
Phone
(703) 237-2000
Fax
(703) 237-2155
NPI assigned
Jan 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT870957 DC
Physical Therapist 225100000X 2305205598 VA Primary

Addresses

Primary practice location

803 W Broad St
Suite 600
Falls Church, VA 22046-3130

Mailing address

3853 Barcroft LN
Alexandria, VA 22312-1162
Phone (703) 237-2000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT870957DCMDPhysical Therapist
2305205598VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Rehabilitation, LLC Physical Therapist PastSince Jul 13, 2012 Accepting new patients
Bodies in Motion Physical Therapy, LLC Physical Therapist PastSince Aug 10, 2006 Accepting new patients

Organizations & group practices 2

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": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1275771776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3853 BARCROFT LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121162",
            "telephone_number": "703-237-2000",
            "fax_number": "703-237-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W BROAD ST",
            "address_2": "SUITE 600",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463130",
            "telephone_number": "703-237-2000",
            "fax_number": "703-237-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-22",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870957",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.