Individual provider Active NPI

Celina Maria Hawthorne, OTR, OTD

  • Occupational Therapist
  • Nacogdoches, TX
National Provider Identifier
1780851675
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
124374 Issued in TX
Practice address
631 Tower Rd
Nacogdoches, TX 75961-4743
Phone
(936) 585-1360
NPI assigned
May 11, 2008
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 209648 TX
Occupational Therapist 225X00000X 124374 TX Primary

Addresses

Primary practice location

631 Tower Rd
Nacogdoches, TX 75961-4743

Mailing address

631 Tower Rd
Nacogdoches, TX 75961-4743
Phone (936) 585-1360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250707002847 TX Practitioner - Occupational Therapist in Private Practice 9335653914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Baylor College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace in Motion Rehab LLCGroup PAC ID 8426562000, 2 clinicians

Practice addresses (Care Compare)

3611 N St
Suite 110
Nacogdoches, TX 75965-2402
Phone (936) 221-5505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209648TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grace in Motion Rehab LLC Occupational Therapist CurrentSince May 27, 2025 Accepting new patients

Locations

3611 North St
Ste 110
Nacogdoches, TX 75965
Phone (936) 221-5505

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.

NPI Registry JSON

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

{
    "created_epoch": "1210464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1780851675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 TOWER RD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614743",
            "telephone_number": "936-585-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 TOWER RD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614743",
            "telephone_number": "936-585-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "CELINA",
        "middle_name": "MARIA",
        "credential": "OTR, OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-11",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "209648",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "124374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.