Active NPI
John Hawkins Jr., DPT
- Physical Therapist
- Reedsburg, WI
National Provider Identifier
1427426899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13216-24
- Practice address
- 1051 Clark St
Reedsburg, WI 53959-2321 - Phone
- (608) 524-7543
- Fax
- (608) 524-7599
- NPI assigned
- Sep 2, 2015
- Sex
- Male
- 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 Therapist | 225100000X | 13216-24 | WI | Primary |
Addresses
Primary practice location
1051 Clark St
Reedsburg, WI 53959-2321
Mailing address
106 S Holmen Dr
Suite 2
Holmen, WI 54636-9467
Phone (608) 526-9888
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 |
|---|---|---|---|
| 13216-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1427426899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 S HOLMEN DR",
"address_2": "SUITE 2",
"city": "HOLMEN",
"state": "WI",
"postal_code": "546369467",
"telephone_number": "608-526-9888",
"fax_number": "608-526-9965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 CLARK ST",
"city": "REEDSBURG",
"state": "WI",
"postal_code": "539592321",
"telephone_number": "608-524-7543",
"fax_number": "608-524-7599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "JOHN",
"name_suffix": "Jr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-02",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13216-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reedsburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.