Active NPI
Sally Hawkins, OTR/L
- Hand Occupational Therapist
- Berlin, MD
National Provider Identifier
1952402687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 02179
- Practice address
- 11033 Cathell Rd
Berlin, MD 21811-9328 - Phone
- (410) 208-3630
- NPI assigned
- Sep 26, 2006
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 02179 | MD | Primary |
| Hand Occupational Therapist | 225XH1200X | U10000904 | DE |
Addresses
Primary practice location
11033 Cathell Rd
Berlin, MD 21811-9328
Mailing address
11546 S Dolly Cir
Berlin, MD 21811-3249
Phone (410) 208-3630
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J564 | Other | MD | GROUP BLUE CHOICE/FEDERAL |
| J564002 | Other | MD | BLUE CHOICE/FEDERAL BLUE |
| 754AAT | Other | MD | GROUP# CAREFIRST |
| DC7481 | Other | MD | RAIL ROAD MEDICARE GROUP |
| P00187997 | Other | MD | RAIL ROAD MEDICARE |
| 64125001 | Other | MD | CAREFIRST INDIVIDUAL # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02179 | MD | MD | Clinical Child & Adolescent Psychologist |
| 19956 | MD | MD | Orthopedic Physical Therapist |
| U10000904 | DE | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Physical Therapy, LLC | Past | Accepting new patients | |
| Progressive Physical Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Baltimore, MD
- NPI 1649875030
-
- Physical Therapist
- Washington, DC
- NPI 1487139309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952402687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11546 S DOLLY CIR",
"city": "BERLIN",
"state": "MD",
"postal_code": "218113249",
"telephone_number": "410-208-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11033 CATHELL RD",
"city": "BERLIN",
"state": "MD",
"postal_code": "218119328",
"telephone_number": "410-208-3630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "SALLY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "MD",
"license": "02179",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "DE",
"license": "U10000904",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BLUE CHOICE/FEDERAL",
"identifier": "J564",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE/FEDERAL BLUE",
"identifier": "J564002",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP# CAREFIRST",
"identifier": "754AAT",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE GROUP",
"identifier": "DC7481",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00187997",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST INDIVIDUAL #",
"identifier": "64125001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.