NPIMap

Organization Active NPI

Freedomtown Scooter Co. LLC

  • Durable Medical Equipment & Medical Supplies
  • Moore, OK
National Provider Identifier
1235185166
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
247469 Issued in OK
Legal business name
FREEDOMTOWN SCOOTER CO. LLC
Practice address
225 S Broadway St
Moore, OK 73160-5213
Phone
(405) 759-3586
Fax
(405) 759-3582
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elaine Wiygul
Title
Owner
Phone
(405) 759-3586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 247469 OK Primary

Addresses

Primary practice location

225 S Broadway St
Moore, OK 73160-5213

Mailing address

225 S Broadway St
Moore, OK 73160-5213
Phone (405) 759-3586

National Provider Directory

National Provider Directory
Tax ID family
Freedom Town Scooter of Dallas2 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

225 S Broadway St
Moore, OK 73160
Phone (405) 759-3586

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235185166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S BROADWAY ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605213",
            "telephone_number": "405-759-3586",
            "fax_number": "405-759-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S BROADWAY ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605213",
            "telephone_number": "405-759-3586",
            "fax_number": "405-759-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOMTOWN SCOOTER CO. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIYGUL",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-759-3586"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "247469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • 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.