Healthcare Provider Details

I. General information

NPI: 1518219369
Provider Name (Legal Business Name): THOMAS HOBSON PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2012
Last Update Date: 05/09/2024
Certification Date: 05/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 HIGH RIDGE PARK FL 3
STAMFORD CT
06905-1326
US

IV. Provider business mailing address

5 HIGH RIDGE PARK FL 2
STAMFORD CT
06905-1332
US

V. Phone/Fax

Practice location:
  • Phone: 203-869-1145
  • Fax:
Mailing address:
  • Phone: 203-869-1145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number034464
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number12603
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: