Active NPI
Klifford Hawkins
- Physical Therapist
- Chattanooga, TN
National Provider Identifier
1528580750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11233
- Practice address
- 1100 E 3Rd St Ste G103
Chattanooga, TN 37403 - Phone
- (423) 778-2930
- Fax
- (423) 778-9875
- NPI assigned
- Jul 10, 2017
- Last updated
- Jun 5, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4419 | HI | |
| Physical Therapist | 225100000X | 11233 | TN | Primary |
Addresses
Primary practice location
1100 E 3Rd St Ste G103
Chattanooga, TN 37403
Mailing address
863 Canal St Apt 126
Chattanooga, TN 37402-2311
Phone (808) 938-8197
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4199 | HI | MD | Mental Health Counselor |
| 11233 | TN | MD | Anatomic Pathology & Clinical Pathology Physician |
| 4419 | HI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1528580750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "863 CANAL ST APT 126",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374022311",
"telephone_number": "808-938-8197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E 3RD ST STE G103",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37403",
"telephone_number": "423-778-2930",
"fax_number": "423-778-9875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "KLIFFORD",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-10",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "4419",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "11233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.