Provider Demographics
NPI:1356381081
Name:HOBBS, GREGORY RICHARD (MSPT, OTR/L)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:RICHARD
Last Name:HOBBS
Suffix:
Gender:M
Credentials:MSPT, OTR/L
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3835 WATERMELON RD
Mailing Address - Street 2:STE E
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-5143
Mailing Address - Country:US
Mailing Address - Phone:205-759-2211
Mailing Address - Fax:205-759-2213
Practice Address - Street 1:3835 WATERMELON RD
Practice Address - Street 2:STE E
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35473-5143
Practice Address - Country:US
Practice Address - Phone:205-759-2211
Practice Address - Fax:205-759-2213
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1786225X00000X
ALPTH4270225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALQ40889Medicare UPIN