Kelly Hawkes, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA12100 Issued in FL

Practice address

1 Oakwood Blvd Ste 130
Hollywood, FL 33020-1937

Phone

(954) 925-3844

NPI assigned

Apr 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1508500554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 W HARMONY LAKE CIR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333247117",
            "telephone_number": "954-249-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OAKWOOD BLVD STE 130",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201937",
            "telephone_number": "954-925-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKES",
        "first_name": "KELLY",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA12100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Daniel Hasson, PT
• Taylor Joseph Hathaway, D.O.
• Blake Loren Hauer, DMD
• Lee Scott Hauer, D.D.S.
• Haven Mental Health Community LLC
• Carla Hawkins Locke
• Shermel Erica Hawkins, OTR/L
• Annette B. Hawley, LCSW
• Haxmon Medical Services P LLC LLC
• Mary K Hayes-Macaluso, M.D.

• Occupational Therapy Assistant in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.