Individual provider Active NPI

Jeff Hawkins, OTR

  • Occupational Therapist
  • Clarendon Hills, IL
National Provider Identifier
1316112303
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056-004555 Issued in IL
Practice address
5630 Forest Hills Dr
#101
Clarendon Hills, IL 60514-1633
Phone
(630) 926-1933
NPI assigned
Apr 29, 2008
Last updated
Apr 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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 056-004555 IL Primary

Addresses

Primary practice location

5630 Forest Hills Dr
#101
Clarendon Hills, IL 60514-1633

Mailing address

5630 Forest Hills Dr
#101
Clarendon Hills, IL 60514-1633

Other names 1

  • Jeffrey M Hawkins Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170928000435 IL Practitioner - Occupational Therapist in Private Practice 7315211463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

1015 Oconor Ave
La Salle, IL 61301-1216
Phone (224) 616-5446

2800 Desplaines Ave
North Riverside, IL 60546-1851
Phone (708) 443-4217

407 W 63Rd St
Sunrise of Westmont
Westmont, IL 60559-2910
Phone (331) 224-0769

4715 W Irving Park Rd
Clarendale Six Corners
Chicago, IL 60641-3172
Phone (872) 210-0975

6300 Clarendon Hills Rd
Willowbrook, IL 60527-2133
Phone (630) 359-8256

700 N McLean Blvd
Heritage Woods of South Elgin
South Elgin, IL 60177-1442
Phone (224) 253-4738

708 N Elmhurst Rd
Surnise of Prospect Heights
Prospect Heights, IL 60070-1360
Phone (224) 219-0048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056-004555ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Aug 6, 2017 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Aug 6, 2017 Accepting new patients

Locations

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

536 Old Howell Rd
Greenville, SC 29615
Phone (877) 508-3237

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1316112303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 FOREST HILLS DR",
            "address_2": "#101",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 FOREST HILLS DR",
            "address_2": "#101",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141633",
            "telephone_number": "630-926-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "JEFF",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-004555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "HAWKINS",
            "middle_name": "M",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Clarendon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.