Individual provider Active NPI

Deana Lynne Hawkins, MSOTR/L

  • Occupational Therapist
  • Fairfield, IL
National Provider Identifier
1386808731
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056008112 Issued in IL
Practice address
1118 County Road 2100 E
Fairfield, IL 62837-3124
Phone
(618) 517-4435
NPI assigned
Jul 15, 2008
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2017026969 MO
Occupational Therapist 225X00000X 056008112 IL Primary

Addresses

Primary practice location

1118 County Road 2100 E
Fairfield, IL 62837-3124

Mailing address

1118 County Road 2100 E
Fairfield, IL 62837-3124
Phone (618) 517-4435

Other names 1

  • Deana Lynne Hostettler Former name

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

LicenseStateTypeSpecialty
056008112ILMDOccupational Therapist
2017026969MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
OT Playworks Inc. CurrentSince Jul 24, 2022 Accepting new patients
Skill Builders Therapy LLC Occupational Therapist CurrentSince Jul 24, 2022 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, 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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1386808731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 COUNTY ROAD 2100 E",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628373124",
            "telephone_number": "618-517-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 COUNTY ROAD 2100 E",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628373124",
            "telephone_number": "618-517-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "DEANA",
        "middle_name": "LYNNE",
        "credential": "MSOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2017026969",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056008112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANA",
            "last_name": "HOSTETTLER",
            "middle_name": "LYNNE",
            "credential": "MSOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.