Individual provider Active NPI

Larry Dean Hawkins, PT

  • Physical Therapist
  • East Alton, IL
National Provider Identifier
1437115045
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6823160OtherILBCBS ILL
342305OtherILHEALTHLINK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061211000077 IL Practitioner - Physical Therapist in Private Practice 2466412358 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
King Spinal & Sports Rehabilitation, LTD. Physical Therapist CurrentSince Jun 13, 2014 Accepting new patients
Orthopedic & Sports Medicine Clinic, P.C. CurrentSince Jan 2, 2019 Accepting new patients
Gateway Rehabilitation Taylorville LLC Physical Therapist PastSince Oct 1, 2006 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.

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.

Verify at the official NPI Registry.