Organization Active NPI

Mobility Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Orem, UT
National Provider Identifier
1124966577
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MOBILITY PROSTHETICS, LLC
Practice address
1815 S State St Ste 100
Orem, UT 84097-8143
Phone
(801) 436-8847
Fax
(801) 436-8847
NPI assigned
Mar 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Jake Martin
Title
Office Manager
Phone
(801) 436-8847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1815 S State St Ste 100
Orem, UT 84097-8143

Mailing address

1815 S State St Ste 100
Orem, UT 84097-8143
Phone (801) 436-8847

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mobility Prosthetics - Orem1815 S State St, Orem, UT 84097-8143(801) 436-8847 Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Dec 13, 2018

National Provider Directory

National Provider Directory
Tax ID family
Mobility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1815 S State St
Ste 100
Orem, UT 84097
Phone (801) 436-8847

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1124966577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 S STATE ST STE 100",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840978143",
            "telephone_number": "801-436-8847",
            "fax_number": "801-436-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 S STATE ST STE 100",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840978143",
            "telephone_number": "801-436-8847",
            "fax_number": "801-436-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-436-8847"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.