Active NPI
Larry Dean Hawkins, PT
- Physical Therapist
- East Alton, IL
National Provider Identifier
1437115045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 935 East Airline Dr
East Alton, IL 62024-2031 - Phone
- (618) 258-9093
- Fax
- (618) 258-9097
- NPI assigned
- Apr 22, 2006
- 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 | IL | Primary |
Addresses
Primary practice location
935 East Airline Dr
East Alton, IL 62024-2031
Mailing address
935 East Airline Dr
East Alton, IL 62024-2031
Phone (618) 258-9093
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6823160 | Other | IL | BCBS ILL |
| 342305 | Other | IL | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King Spinal & Sports Rehabilitation, LTD. | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Sports Medicine Clinic, P.C. | Current | Accepting new patients | |
| Gateway Rehabilitation Taylorville LLC | Physical Therapist | Past | Accepting new patients |
| Gateway Rehabilitation Company, LLC | Physical Therapist | Past | Accepting new patients |
| Jerseyville Pain Management Center, S.C. | Past | Accepting new patients |
Locations
4411 Alby St
Alton, IL 62002
Phone (618) 474-8052
1525 Johnson Rd
Granite City, IL 62040
Phone (618) 452-1986
Organizations & group practices 5
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 Therapist
- Granite City, IL
- NPI 1427157593
-
- Orthopaedic Surgery Physician
- Alton, IL
- NPI 1982637658
-
- Physical Therapist
- East Alton, IL
- NPI 1093771883
-
- Physical Therapy Clinic/Center
- Taylorville, IL
- NPI 1306946777
Physical Therapist
-
- Chiropractor
- Wood River, IL
- NPI 1063470524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1437115045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 EAST AIRLINE DR",
"city": "EAST ALTON",
"state": "IL",
"postal_code": "620242031",
"telephone_number": "618-258-9093",
"fax_number": "618-258-9097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 EAST AIRLINE DR",
"city": "EAST ALTON",
"state": "IL",
"postal_code": "620242031",
"telephone_number": "618-258-9093",
"fax_number": "618-258-9097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "LARRY",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ILL",
"identifier": "6823160",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "342305",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.