Active NPI
Jessica Hawkins, PT
- Physical Therapist
- Glendale, AZ
National Provider Identifier
1730803479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP039747T
- Practice address
- 4344 W Bell Rd Ste 100
Glendale, AZ 85308-3589 - Phone
- (602) 548-9882
- NPI assigned
- Sep 27, 2022
- Last updated
- Feb 27, 2025
- Sex
- Female
- 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 | |||
| Physical Therapist | 225100000X | CP039747T | AZ | Primary |
Addresses
Primary practice location
4344 W Bell Rd Ste 100
Glendale, AZ 85308-3589
Mailing address
8670 E Shea Blvd Ste 101
Scottsdale, AZ 85260-6656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5110 N Dysart Rd
Suite 148
Litchfield Park, AZ 85340-3062
Phone (623) 547-4739
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP039747T | AZ | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1558318170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1730803479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8670 E SHEA BLVD STE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4344 W BELL RD STE 100",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853083589",
"telephone_number": "602-548-9882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "JESSICA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-27",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "CP039747T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.