Individual provider Active NPI

Sally Hawkins, OTR/L

  • Hand Occupational Therapist
  • Berlin, MD
National Provider Identifier
1952402687
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
02179 Issued in MD
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
J564OtherMDGROUP BLUE CHOICE/FEDERAL
J564002OtherMDBLUE CHOICE/FEDERAL BLUE
754AATOtherMDGROUP# CAREFIRST
DC7481OtherMDRAIL ROAD MEDICARE GROUP
P00187997OtherMDRAIL ROAD MEDICARE
64125001OtherMDCAREFIRST 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

LicenseStateTypeSpecialty
02179MDMDClinical Child & Adolescent Psychologist
19956MDMDOrthopedic Physical Therapist
U10000904DEMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physical Therapy, LLC Past Accepting new patients
Progressive Physical Therapy, LLC PastSince Dec 6, 2020 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.

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.

Verify at the official NPI Registry.