Provider Demographics
NPI:1023022670
Name:HOBSON PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:HOBSON PHYSICAL THERAPY, PC
Other - Org Name:RHINEBECK PHYSICAL THERAPY & SPORTS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELENA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:845-876-3595
Mailing Address - Street 1:187 E MARKET ST
Mailing Address - Street 2:SUITE 142
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1727
Mailing Address - Country:US
Mailing Address - Phone:845-876-3595
Mailing Address - Fax:845-876-0465
Practice Address - Street 1:187 E MARKET ST
Practice Address - Street 2:SUITE 142
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1727
Practice Address - Country:US
Practice Address - Phone:845-876-3595
Practice Address - Fax:845-876-0465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013171-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ3728OtherEMPIRE BC/BS GROUP
NY10035711OtherCDPHP (HH)
NYP1304740OtherOXFORD
NYQ3728OtherEMPIRE BC/BS GROUP?