Active NPI
Mobility Plus
- Durable Medical Equipment & Medical Supplies
- Yadkinville, NC
National Provider Identifier
1023081650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MOBILITY PLUS
- Practice address
- 105 Woodlyn Dr
Yadkinville, NC 27055-6673 - Phone
- (336) 677-3866
- Fax
- (336) 677-3867
- NPI assigned
- Feb 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Scott Moore
- Title
- President
- Phone
- (336) 677-3866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NC | Primary |
Addresses
Primary practice location
105 Woodlyn Dr
Yadkinville, NC 27055-6673
Mailing address
PO Box 547
Yadkinville, NC 27055-0547
Phone (336) 677-3866
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 804402 | Other | NC | PARTNERS |
| 7703855 | Medicaid | NC | |
| 064A0 | Other | NC | BLUE CROSS/BLUE SHEILD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Yadkinville, NC
- NPI 1912255688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305763200000",
"number": "1023081650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270550547",
"telephone_number": "336-677-3866",
"fax_number": "336-677-3867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WOODLYN DR",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270556673",
"telephone_number": "336-677-3866",
"fax_number": "336-677-3867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILITY PLUS",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-13",
"last_updated": "2011-05-19",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "336-677-3866",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "804402",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7703855",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHEILD",
"identifier": "064A0",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yadkinville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.