Healthcare Provider Details

I. General information

NPI: 1700115482
Provider Name (Legal Business Name): CHAD E HOBBS PT, DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2009
Last Update Date: 11/10/2023
Certification Date: 11/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 PERDIDO ST
NEW ORLEANS LA
70112-1306
US

IV. Provider business mailing address

1900 PERDIDO ST
NEW ORLEANS LA
70112-1306
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-4808
  • Fax:
Mailing address:
  • Phone: 504-568-4808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number331515
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number331515
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8558
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5708
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: