Max Mobility Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MAX MOBILITY INC

Practice address

1345 Queens CT
Suite a
St Peters, MO 63376-7356

Phone

(636) 441-5500

Fax

(636) 441-5525

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Kevin D Koon

Title

Owner

Phone

(636) 441-5500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154328979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 QUEENS CT",
            "address_2": "SUITE A",
            "city": "ST PETERS",
            "state": "MO",
            "postal_code": "633767356",
            "telephone_number": "636-441-5500",
            "fax_number": "636-441-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 QUEENS CT",
            "address_2": "SUITE A",
            "city": "ST PETERS",
            "state": "MO",
            "postal_code": "633767356",
            "telephone_number": "636-441-5500",
            "fax_number": "636-441-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX MOBILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-441-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faisal Matar
• Stanley Mathew, MD
• Amanda Matlock, PT, DPT
• Shari Matson, MS/CCC-SP
• Janet Matuszek, DO
• Lily Maxey
• Brandon Reed Maxwell, D.C.
• Lauren McAdams, PTA
• John W. McAllister, MD
• Mary Michelle McBride, MSW, LCSW

• Durable Medical Equipment & Medical Supplies in St Peters, MO
• Providers in St Peters, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.