Active NPI
Mobile Prosthetics & Orthotics, Inc.
- Prosthetic/Orthotic Supplier
- Tampa, FL
National Provider Identifier
1073030623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- MOBILE PROSTHETICS & ORTHOTICS, INC.
- Practice address
- 4809 Memorial Hwy Ste 100
Tampa, FL 33634-7515 - Phone
- (386) 245-7770
- NPI assigned
- Aug 24, 2017
- 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
- Ms. Stephanie Kingston
- Title
- Coo
- Phone
- (407) 245-7770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
4809 Memorial Hwy Ste 100
Tampa, FL 33634-7515
Mailing address
3160 Southgate Commerce Blvd Ste 38
Orlando, FL 32806-8557
Phone (407) 245-7770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001590300 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Mobile Prosthetics Orthotics Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Orlando, FL
- NPI 1649274556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614038400000",
"number": "1073030623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3160 SOUTHGATE COMMERCE BLVD STE 38",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328068557",
"telephone_number": "407-245-7770",
"fax_number": "407-245-7727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4809 MEMORIAL HWY STE 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336347515",
"telephone_number": "386-245-7770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE PROSTHETICS & ORTHOTICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-24",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A",
"authorized_official_last_name": "KINGSTON",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "407-245-7770",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001590300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.