Healthcare Provider Details

I. General information

NPI: 1588316145
Provider Name (Legal Business Name): HAWKINS PHYSICAL THERAPY AND LYMPHEDEMA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2022
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 13TH ST
AURORA NE
68818-2008
US

IV. Provider business mailing address

305 S W RD
AURORA NE
68818-7517
US

V. Phone/Fax

Practice location:
  • Phone: 402-204-0882
  • Fax: 402-204-0940
Mailing address:
  • Phone: 785-317-4064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. CARLEE ANN HAWKINS
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 785-317-4064