Organization Active NPI

Mobility by Design LLC

  • Durable Medical Equipment & Medical Supplies
  • Gettysburg, PA
National Provider Identifier
1104936202
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6000005723 Issued in PA
Legal business name
MOBILITY BY DESIGN LLC
Practice address
3010 York Rd
Gettysburg, PA 17325-8240
Phone
(717) 338-9094
Fax
(717) 338-2099
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Michael James Resop
Title
Owner Managing Member
Phone
(717) 338-9094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6000005723 PA Primary

Addresses

Primary practice location

3010 York Rd
Gettysburg, PA 17325-8240

Mailing address

3010 York Rd
Gettysburg, PA 17325-8240
Phone (717) 338-9094

Other identifiers 1

IdentifierTypeStateIssuer
0019043440002MedicaidPA

National Provider Directory

National Provider Directory

Locations

3010 York Rd
Gettysburg, PA 17325
Phone (717) 338-9094

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1104936202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 YORK RD",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258240",
            "telephone_number": "717-338-9094",
            "fax_number": "717-338-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 YORK RD",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258240",
            "telephone_number": "717-338-9094",
            "fax_number": "717-338-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY BY DESIGN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "RESOP",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER MANAGING MEMBER",
        "authorized_official_telephone_number": "717-338-9094"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000005723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019043440002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.