Organization Active NPI

Mobility Plus LLC

  • Oxygen Equipment & Supplies (DME)
  • Muskogee, OK
National Provider Identifier
1245269174
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MOBILITY PLUS LLC
Practice address
3107 Azalea Park Dr
Muskogee, OK 74401-2284
Phone
(918) 686-0218
Fax
(918) 686-0345
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Mr. Andrew A Kohler
Title
Principal
Phone
(918) 743-4491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

3107 Azalea Park Dr
Muskogee, OK 74401-2284

Mailing address

PO Box 9547
Tulsa, OK 74157-0547
Phone (918) 686-0218

Other identifiers 1

IdentifierTypeStateIssuer
100634600CMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930093082 OK DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 2769593839 Practice locations: Muskogee, OK

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 Plus3107 Azalea Park Dr, Muskogee, OK 74401-2284(918) 686-0218 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles… Does not accept assignmentParticipating since Sep 22, 2000

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

315 S 37th St
Muskogee, OK 74401

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1245269174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9547",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741570547",
            "telephone_number": "918-686-0218",
            "fax_number": "918-686-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 AZALEA PARK DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012284",
            "telephone_number": "918-686-0218",
            "fax_number": "918-686-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "918-743-4491",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100634600C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.