MEDICARE: ASHLEE NIKOLE HAWKINS OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376014977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEE NIKOLE HAWKINS OTR/L

Provider Business Mailing Address
First Line	:	98 RIVERSIDE DR # 1G
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-5323
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	79 HUDSON ST STE 404
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-5641
Country	:	US
Telephone Number	:	201-222-9576
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2018
Last Update Date	:	01/20/2026

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