Organization Active NPI

Kohlbrecher Mobility LLC

Doing business as 101 Mobility of St. Louis

  • Durable Medical Equipment & Medical Supplies
  • Weldon Spring, MO
National Provider Identifier
1033456512
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KOHLBRECHER MOBILITY LLC
Doing business as
101 Mobility of St. Louis
Practice address
831 Westwood Industrial Park Dr Ste 101
Weldon Spring, MO 63304-4584
Phone
(314) 258-1766
Fax
(866) 256-1167
NPI assigned
Jan 3, 2013
Last updated
Nov 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Mr. Brad Alan Kohlbrecher
Title
Owner
Phone
(314) 258-1766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

831 Westwood Industrial Park Dr Ste 101
Weldon Spring, MO 63304-4584

Mailing address

831 Westwood Industrial Park Dr Ste 101
Weldon Spring, MO 63304-4584
Phone (314) 258-1766

Other identifiers 1

IdentifierTypeStateIssuer
320900000XMedicaidMO

Other names 1

  • 101 Mobility of St. Louis Doing business as

National Provider Directory

National Provider Directory

Locations

4025 S Old Highway 94
Ste T
Saint Charles, MO 63304

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1033456512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 WESTWOOD INDUSTRIAL PARK DR STE 101",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633044584",
            "telephone_number": "314-258-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 WESTWOOD INDUSTRIAL PARK DR STE 101",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633044584",
            "telephone_number": "314-258-1766",
            "fax_number": "866-256-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHLBRECHER MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "KOHLBRECHER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-258-1766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320900000X",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "101 Mobility of St. Louis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "101 Mobility of St. Louis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weldon Spring, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.