Active NPI
Dustin Walekino Hobayan
- Physical Therapy Assistant
- Georgetown, DE
National Provider Identifier
1063042984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- J2-0001190
- Practice address
- 110 W North St
Georgetown, DE 19947-2137 - Phone
- (302) 359-4603
- NPI assigned
- Jan 20, 2020
- Last updated
- Jan 20, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | J2-0001190 | DE | Primary |
Addresses
Primary practice location
110 W North St
Georgetown, DE 19947-2137
Mailing address
110 W North St
Georgetown, DE 19947-2137
Phone (302) 359-4603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2-0001190 | DE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579478400000",
"number": "1063042984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W NORTH ST",
"city": "GEORGETOWN",
"state": "DE",
"postal_code": "199472137",
"telephone_number": "302-359-4603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W NORTH ST",
"city": "GEORGETOWN",
"state": "DE",
"postal_code": "199472137",
"telephone_number": "302-359-4603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBAYAN",
"first_name": "DUSTIN",
"middle_name": "WALEKINO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-20",
"last_updated": "2020-01-20",
"certification_date": "2020-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "DE",
"license": "J2-0001190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, DE
- Higher Ground Outreach Inc
- Mimi Joye Hilderley, APRN
- Jeffrey P Hilovsky, O.D.
- Madison Lei Hines
- Hlhjr Ventures-Chiropractic Associates LLC
- Jennifer Hoffman, OTR/L
- Rochelle Holmes, CADC
- Hope Harbor Therapy, LLC
- Horizon House Delaware Inc
- Horizon House Delaware Inc. (Horizon House Delaware Inc. - Alliance)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.