Provider Demographics
NPI:1477691525
Name:HOBBIE, LAYNA EKKEL (PT)
Entity Type:Individual
Prefix:MS
First Name:LAYNA
Middle Name:EKKEL
Last Name:HOBBIE
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 1:15 AMBY AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-3415
Mailing Address - Country:US
Mailing Address - Phone:516-313-9705
Mailing Address - Fax:
Practice Address - Street 1:15 AMBY AVE
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-3415
Practice Address - Country:US
Practice Address - Phone:516-313-9705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020778-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist