Active Mobility Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ACTIVE MOBILITY INC

Practice address

1315 S Gilbert Rd
Mesa, AZ 85204-6088

Phone

(480) 539-2939

Fax

(480) 539-2930

NPI assigned

Jun 19, 2007

Last updated

Jun 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Doom

Title

President/Owner

Phone

(480) 539-2939

Specialties & licenses 1

Addresses

Other names 1

• Arbor Mobility Products Inc Former legal business name

Locations

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1033314083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 S GILBERT RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046088",
            "telephone_number": "480-539-2939",
            "fax_number": "480-539-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S GILBERT RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046088",
            "telephone_number": "480-539-2939",
            "fax_number": "480-539-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE MOBILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "DOOM",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "480-539-2939",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Mobility Products Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jose Jeral Acosta, RPA
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• Jessica Margaret Acton
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• Acumen Fiscal Agent LLC
• Acute Home Health Care Inc

• Customized Equipment (DME) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Customized Equipment (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.