Healthcare Provider Details

I. General information

NPI: 1649185919
Provider Name (Legal Business Name): BLAIR HOBBLE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1848 WAKE FOREST RD
RALEIGH NC
27608-2730
US

IV. Provider business mailing address

1055 BLUEBELL LN
WAKE FOREST NC
27587-5907
US

V. Phone/Fax

Practice location:
  • Phone: 919-578-8488
  • Fax:
Mailing address:
  • Phone: 919-907-1789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP14221
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: