Mobility Access,LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOBILITY ACCESS,LLC

Doing business as

101Mobility of Connecticut

Practice address

485 New Park Ave Ste F3
West Hartford, CT 06110-1333

Phone

(860) 904-6653

Fax

(860) 216-4197

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Mr. John Thomas Macdonald Jr.

Title

Managing Member

Phone

(860) 904-6653

Specialties & licenses 1

Addresses

Other names 1

• 101Mobility of Connecticut Doing business as

Locations

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1093184293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 NEW PARK AVE STE F3",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101333",
            "telephone_number": "860-904-6653",
            "fax_number": "860-216-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 NEW PARK AVE STE F3",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101333",
            "telephone_number": "860-904-6653",
            "fax_number": "860-216-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY ACCESS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "860-904-6653",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "101Mobility of Connecticut",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.