Healthcare Provider Details

I. General information

NPI: 1467851048
Provider Name (Legal Business Name): AMY HOBBS PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2014
Last Update Date: 01/27/2020
Certification Date: 01/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 N 15TH AVE
PENSACOLA FL
32503-4730
US

IV. Provider business mailing address

2201 N 15TH AVE
PENSACOLA FL
32503-4730
US

V. Phone/Fax

Practice location:
  • Phone: 318-229-6208
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT31998
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: