Individual provider Active NPI

Elizabeth Kaitlin Hawkins, MOTR/L

  • Occupational Therapist
  • Indianola, MS
National Provider Identifier
1811870900
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
480476 Issued in MS
Practice address
106 Second St
Indianola, MS 38751-2846
Phone
(662) 887-3800
Fax
(662) 887-3800
NPI assigned
Jul 28, 2025
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 480476 MS Primary

Addresses

Primary practice location

106 Second St
Indianola, MS 38751-2846

Mailing address

106 Second St
Indianola, MS 38751-2846
Phone (662) 887-3800

Other practice location 1

127 North St
Cleveland, MS 38732-2765
Phone (662) 580-4410

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818002667 MS Practitioner - Occupational Therapist in Private Practice 4183123060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exceed of Ms LLCGroup PAC ID 9133577422, 10 clinicians
Exceed Physical Therapy of Cleveland LLCGroup PAC ID 1153793583, 7 clinicians

Practice addresses (Care Compare)

1020 Margaret Blvd
Greenville, MS 38703-6453
Phone (662) 332-4950

127 N St
Suite B
Cleveland, MS 38732-2765
Phone (662) 588-1542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
480476MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Exceed of Ms, LLC CurrentSince Aug 18, 2025 Accepting new patients
Exceed Physical Therapy of Cleveland, LLC CurrentSince Aug 18, 2025 Accepting new patients
Douglas E Fleming LLC CurrentSince Aug 3, 2025 Accepting new patients
Exceed of Ms, LLC Current Accepting new patients

Locations

920 Cedar Lake Rd
Ste S
Biloxi, MS 39532
Phone (228) 265-7185

127 North St
Cleveland, MS 38732
Phone (662) 207-3849

127 North St
Ste B
Cleveland, MS 38732
Phone (662) 580-4410

1020 Margaret Blvd
Greenville, MS 38703
Phone (662) 332-4950

106 Second St
Indianola, MS 38751
Phone (662) 887-3800

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": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1811870900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SECOND ST",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512846",
            "telephone_number": "662-887-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SECOND ST",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512846",
            "telephone_number": "662-887-3800",
            "fax_number": "662-887-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 North St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "MS",
            "postal_code": "387322765",
            "country_code": "US",
            "telephone_number": "662-580-4410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "ELIZABETH",
        "middle_name": "KAITLIN",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "480476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.