Individual provider Active NPI

Jennifer Novak Hawkins, PT

  • Physical Therapist
  • Oceanside, CA
National Provider Identifier
1609858000
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39442 Issued in CA
Practice address
3809 Plaza Dr
112
Oceanside, CA 92056-4625
Phone
(760) 941-2630
Fax
(760) 941-4617
NPI assigned
Nov 19, 2005
Last updated
Dec 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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 39442 CA Primary

Addresses

Primary practice location

3809 Plaza Dr
112
Oceanside, CA 92056-4625

Mailing address

3809 Plaza Dr
112
Oceanside, CA 92056-4625
Phone (760) 941-2630

Other names 1

  • Miss Jennifer Michelle Novak Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130409000326 CA Practitioner - Physical Therapist in Private Practice 7517991656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6221 Metropolitan St
Suite 101
Carlsbad, CA 92009-3096
Phone (760) 707-5080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gaspar Physical Therapy a Professional Corporation Physical Therapist CurrentSince Mar 11, 2013 Accepting new patients
Gaspar Physical Therapy a Professional Corporation Physical Therapist CurrentSince Mar 11, 2013 Accepting new patients
Arizona Sports Physical Therapy LTD Physical Therapist Past Accepting new patients
Bradley K Becker, PC Past Accepting new patients

Locations

6221 Metropolitan St
Ste 101
Carlsbad, CA 92009
Phone (760) 632-6942

700 Garden View Ct
Ste 103
Encinitas, CA 92024
Phone (760) 632-6942

3609 Ocean Ranch Blvd
Ste 201
Oceanside, CA 92056
Phone (760) 941-2630

3809 Plaza Dr
Ste 112
Oceanside, CA 92056
Phone (760) 941-2630

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1609858000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 PLAZA DR",
            "address_2": "112",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564625",
            "telephone_number": "760-941-2630",
            "fax_number": "760-941-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 PLAZA DR",
            "address_2": "112",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564625",
            "telephone_number": "760-941-2630",
            "fax_number": "760-941-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "JENNIFER",
        "middle_name": "NOVAK",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-19",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NOVAK",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.