Amy Sue Hawkins, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

18525 Woodland Ridge Dr
Spring Lake, MI 49456-8876

Phone

(616) 842-0770

NPI assigned

Apr 11, 2025

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

• Amy Sue Gardner Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2025.

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1699560425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 STAPLE RD",
            "city": "TWIN LAKE",
            "state": "MI",
            "postal_code": "494578521",
            "telephone_number": "231-750-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18525 WOODLAND RIDGE DR",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494568876",
            "telephone_number": "616-842-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Staple Rd",
            "address_purpose": "LOCATION",
            "city": "Twin Lake",
            "state": "MI",
            "postal_code": "494578521",
            "country_code": "US",
            "telephone_number": "231-750-4899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "AMY",
        "middle_name": "SUE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GARDNER",
            "middle_name": "SUE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Spring Lake, MI
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.