Provider Demographics
NPI:1174412373
Name:HOBSON, JILLIAN BETH (PT)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:BETH
Last Name:HOBSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 LEGEND DR APT 3311
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-3510
Mailing Address - Country:US
Mailing Address - Phone:908-731-1119
Mailing Address - Fax:
Practice Address - Street 1:755 N BROADWAY STE 150
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-1078
Practice Address - Country:US
Practice Address - Phone:914-366-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY03720901225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist