Organization Active NPI

Advanced Mobility Prosthetics

  • Prosthetic/Orthotic Supplier
  • Greenwood, IN
National Provider Identifier
1003614199
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ADVANCED MOBILITY PROSTHETICS
Practice address
3209 W Smith Valley Rd Ste 149
Greenwood, IN 46142-8514
Phone
(317) 798-0282
Fax
(317) 536-2944
NPI assigned
Mar 4, 2025
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicholas Adam Brewer, CPONPI 1558216721
Title
Ceo
Phone
(317) 937-7529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

3209 W Smith Valley Rd Ste 149
Greenwood, IN 46142-8514

Mailing address

8515 Auburn RDG
Martinsville, IN 46151-6372
Phone (317) 937-7529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251208002005 IN DME Supplier - Certified Orth/Pros/Pedorthist 0446743439 Practice locations: Greenwood, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Advanced Mobility Prosthetics3209 W Smith Valley Rd, Greenwood, IN 46142-8514(317) 798-0282 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Limb Prostheses Accepts assignmentParticipating since Sep 11, 2025

National Provider Directory

National Provider Directory

Locations

3209 W Smith Valley Rd
Ste 149
Greenwood, IN 46142
Phone (317) 798-0282

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1003614199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 AUBURN RDG",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461516372",
            "telephone_number": "317-937-7529",
            "fax_number": "317-536-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W SMITH VALLEY RD STE 149",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461428514",
            "telephone_number": "317-798-0282",
            "fax_number": "317-536-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MOBILITY PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-937-7529",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.