Organization Active NPI

Maximum Mobility

  • Durable Medical Equipment & Medical Supplies
  • Rescue, CA
National Provider Identifier
1124266747
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2004-033384 Issued in CA
Legal business name
MAXIMUM MOBILITY
Practice address
2922 Fulam CT
Rescue, CA 95672-9474
Phone
(916) 879-2677
NPI assigned
Feb 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Mrs. Tammy June Troupe
Title
Owner
Phone
(916) 879-2677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2004-033384 CA Primary

Addresses

Primary practice location

2922 Fulam CT
Rescue, CA 95672-9474

Mailing address

2922 Fulam CT
Rescue, CA 95672-9474
Phone (916) 879-2677

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1124266747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 FULAM CT",
            "city": "RESCUE",
            "state": "CA",
            "postal_code": "956729474",
            "telephone_number": "916-879-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 FULAM CT",
            "city": "RESCUE",
            "state": "CA",
            "postal_code": "956729474",
            "telephone_number": "916-879-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "TROUPE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-879-2677",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "2004-033384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rescue, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.