MEDICARE: RONISHA HAWTHORNE OTA

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	225XG0600X	Gerontology Occupational Therapist	OTA14074	FL

General Provider Information

NPI Number	:	1528748399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONISHA HAWTHORNE OTA

Provider Business Mailing Address
First Line	:	272 LOQUAT RD NW
Second Line	:
City	:	LAKE PLACID
State	:	FL
Zip	:	33852-6541
Country	:	US
Telephone Number	:	863-243-0965
Fax Number	:

Provider Business Practice Location Address
First Line	:	272 LOQUAT RD NW
Second Line	:
City	:	LAKE PLACID
State	:	FL
Zip	:	33852-6541
Country	:	US
Telephone Number	:	863-243-0965
Fax Number	:

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

Provider Enumeration Date	:	07/18/2023
Last Update Date	:	07/18/2023

Similar Medicare Providers

1841209608 — MS. DOREEN M DUGGAN OTR
Practice Location Address:

1823 N J ST
LAKE WORTH, FL
33460-6541

Practice Phone: 561-859-9221
Practice Fax: 561-859-9221

1487872701 — DOREEN DUGGAN OTRPA
Practice Location Address:

1823 N J ST
LAKE WORTH, FL
33460-6541

Practice Phone: 561-859-9221
Practice Fax: 561-237-5442

1881414043 — SAHAR DAVARZANI
Practice Location Address:

45558 LAKE HAVEN TER
STERLING, VA
20165-6541

Practice Phone: 571-574-0613
Practice Fax:

1154130862 — BONNIE EDWARDS RD
Practice Location Address:

16727 LAKE KNOLL PKWY
RIVERSIDE, CA
92503-6541

Practice Phone: 951-710-7062
Practice Fax:

1235671777 — PUBLIX SUPER MARKETS INC
Practice Location Address:

586 US 27 N
LAKE PLACID, FL
33852-9508

Practice Phone: 863-699-2182
Practice Fax: 863-659-4176

1861497638 — DR. GARY PEARCE M.D.
Practice Location Address:

211 US HIGHWAY 27 S
LAKE PLACID, FL
33852-7920

Practice Phone: 863-465-1880
Practice Fax: 863-465-6385

Directions to “ RONISHA HAWTHORNE OTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.