Basic Information
Provider Information
NPI: 1336205111
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOBSON
FirstName: HELENA
MiddleName: MAISA
NamePrefix: MRS.
NameSuffix:  
Credential: P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 187 E MARKET ST
Address2: SUITE 142
City: RHINEBECK
State: NY
PostalCode: 125721727
CountryCode: US
TelephoneNumber: 8458763595
FaxNumber: 8458760465
Practice Location
Address1: 187 E MARKET ST
Address2: SUITE 142
City: RHINEBECK
State: NY
PostalCode: 125721727
CountryCode: US
TelephoneNumber: 8458763595
FaxNumber: 8458760465
Other Information
ProviderEnumerationDate: 12/28/2006
LastUpdateDate: 12/19/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X013171-1NYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

ID Information
IDTypeStateIssuerDescription
Q372801NYEMPIRE BC BSOTHER
P130474001NYOXFORDOTHER
1003571101NYCDPHPOTHER
139330001NYUNITED HEALTH CAREOTHER
43764001NYMVP HEALTHCAREOTHER
80923501NYEMPIRE PLAN NYS EMPLOYEES MPNOTHER


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