Active NPI
Monique Lynn Hawks, LPTA
- Physical Therapy Assistant
- Portland, OR
National Provider Identifier
1386770154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 7353
- Practice address
- 11300 NE Halsey St Ste 102
Portland, OR 97220-2013 - Phone
- (503) 257-9881
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 7353 | OR | Primary |
Addresses
Primary practice location
11300 NE Halsey St Ste 102
Portland, OR 97220-2013
Mailing address
4800 SE Viewpoint Dr
Troutdale, OR 97060-4523
Phone (503) 667-5660
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7353 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Parkrose Sports Care PT LLC | Past | Accepting new patients | |
| Ryan Douglas Glover Armworks Hand Therapy | Past | 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.
-
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1982748141
-
- Hand Occupational Therapist
- Portland, OR
- NPI 1700891165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386770154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 SE VIEWPOINT DR",
"city": "TROUTDALE",
"state": "OR",
"postal_code": "970604523",
"telephone_number": "503-667-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 NE HALSEY ST STE 102",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972202013",
"telephone_number": "503-257-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKS",
"first_name": "MONIQUE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "7353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.