Organization Active NPI

Liberator Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Stuart, FL
National Provider Identifier
1164652558
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIBERATOR MEDICAL SUPPLY, INC.
Practice address
1823 SE Airport Rd
Stuart, FL 34996-4012
Phone
(800) 323-0914
Fax
(877) 730-7796
NPI assigned
Jul 20, 2009
Last updated
Jul 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Robert Emerson
Title
Vice President
Phone
(800) 323-0914

Specialties & licenses 1

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

Addresses

Primary practice location

1823 SE Airport Rd
Stuart, FL 34996-4012

Mailing address

1823 SE Airport Rd
Stuart, FL 34996-4012
Phone (800) 323-0914

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2979 SE Gran Park Way
Stuart, FL 34997
Phone (772) 287-2414

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1164652558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 SE AIRPORT RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349964012",
            "telephone_number": "800-323-0914",
            "fax_number": "877-730-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 SE AIRPORT RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349964012",
            "telephone_number": "800-323-0914",
            "fax_number": "877-730-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERATOR MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-323-0914"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.