Jeffrey Todd Connor

Primary specialty

Vehicle Modifications ContractorTaxonomy code 171WV0202X

License

8500004462 Issued in FL

Practice address

20354 US Highway 27
Clermont, FL 34715-8794

Phone

(352) 429-3972

Fax

(352) 429-8811

NPI assigned

Jul 14, 2006

Last updated

Jun 25, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mobility Freedom, Inc.

  dba MobilityWorks

  • Vehicle Modifications Contractor
  • Clermont, FL
  • NPI 1588840508
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1114943958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20354 US HIGHWAY 27",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347158794",
            "telephone_number": "352-429-3972",
            "fax_number": "352-429-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20354 US HIGHWAY 27",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347158794",
            "telephone_number": "352-429-3972",
            "fax_number": "352-429-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "JEFFREY",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": "FL",
            "license": "8500004462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678966896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Concepcion
• Confident Services for You LL.
• Connect and Move Staffing LLC
• Connect and Move Staffing, LLC
• Connect Hearing, Inc.
• Julie M Conrad, ARNP
• Conscious Change,LLC
• Shaunagh Diana Cook, APRN, FNP-C
• Marianna Cookshott, MS
• Caitlin Elizabeth Coole, MS, CCC-SLP

• Contractor in Clermont, FL
• Providers in Clermont, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.