Individual provider Active NPI

Deborah Jayne Hawksworth

  • Occupational Therapist
  • Burbank, CA
National Provider Identifier
1982226841
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT11986 Issued in CA
Practice address
1436 N Evergreen St
Burbank, CA 91505-2003
Phone
(818) 749-7123
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2020

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 OT11986 CA Primary

Addresses

Primary practice location

1436 N Evergreen St
Burbank, CA 91505-2003

Mailing address

1436 N Evergreen St
Burbank, CA 91505-2003
Phone (818) 749-7123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200609002565 CA Practitioner - Occupational Therapist in Private Practice 8022439504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buibui Rehabilitation Services LLCGroup PAC ID 7517397755, 2 clinicians

Practice addresses (Care Compare)

17337 Hartland St
Van Nuys, CA 91406-4416
Phone (818) 383-4108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT11986CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Buibui Rehabilitation Services LLC Occupational Therapist CurrentSince Jun 1, 2020 Accepting new patients
Feld Care Therapy Inc Occupational Therapist CurrentSince May 31, 2021 Accepting new patients
Feld Care Therapy Inc Occupational Therapist Past Accepting new patients

Locations

100 E Thousand Oaks Blvd
Ste 237
Thousand Oaks, CA 91360
Phone (818) 926-9057

Organizations & group practices 3

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": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1982226841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 N EVERGREEN ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052003",
            "telephone_number": "818-749-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 N EVERGREEN ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052003",
            "telephone_number": "818-749-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKSWORTH",
        "first_name": "DEBORAH",
        "middle_name": "JAYNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT11986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.