Organization Active NPI

Impact Mobility LLC

  • Durable Medical Equipment & Medical Supplies
  • Cardington, OH
National Provider Identifier
1174409205
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
IMPACT MOBILITY LLC
Practice address
114 W Main St Ste B
Cardington, OH 43315-3501
Phone
(419) 718-4000
NPI assigned
Aug 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Lanny Fraley
Title
Ceo
Phone
(419) 718-4000

Specialties & licenses 1

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

Addresses

Primary practice location

114 W Main St Ste B
Cardington, OH 43315-3501

Mailing address

114 W Main St Ste B
Cardington, OH 43315-3501
Phone (419) 718-4000

National Provider Directory

National Provider Directory

Locations

114 W Main St
Ste B
Cardington, OH 43315
Phone (419) 718-4000

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1174409205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W MAIN ST STE B",
            "city": "CARDINGTON",
            "state": "OH",
            "postal_code": "433153501",
            "telephone_number": "419-718-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W MAIN ST STE B",
            "city": "CARDINGTON",
            "state": "OH",
            "postal_code": "433153501",
            "telephone_number": "419-718-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "FRALEY",
        "authorized_official_first_name": "LANNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-718-4000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cardington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.