Robert Daryl Hobbs, OT
Individual provider Active NPI Occupational Therapist · Corrales, NM
NPI 1821134669 · NPPES record last updated Jun 3, 2024
Key facts
- NPI
- 1821134669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT1147 (NM)
- Practice address
- 107 Rome LN
Corrales, NM 87048-9076 - Phone
- (505) 265-4906
- Fax
- (505) 265-9146
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1147 | NM | MD | Specialist |
| OT1147 | NM | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Functionl Integrative Therapies | Current | Accepting new patients | |
| RDH Occupational Therapy, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1147 | NM | Yes |
| Specialist | 174400000X | 1147 | NM |
Addresses
Primary practice location
107 Rome LN
Corrales, NM 87048-9076
Mailing address
107 Rome LN
Corrales, NM 87048-9076
Phone (505) 265-4906
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1147 | Other | NM | NM OT LICENSE |
| D-4022 | Medicaid | NM | |
| R-9037 | Medicaid | NM |
Other providers in Corrales, NM
- David L Hemphill
- Yolandra J Hensley
- Kirsten Hermann
- Rachel Hipple
- Mary Claire Hobbs
- Hope Medical Services, LLC
- Horses for Healing, Inc.
- Carol A Hoy
- Andre J Huffmire
- Indigo Health M.D.
All providers in Corrales, NM · Occupational Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.