Organization Active NPI

Active Mobility & Design Inc

  • Durable Medical Equipment & Medical Supplies
  • Fort Pierce, FL
National Provider Identifier
1265428437
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1507 Issued in FL
Legal business name
ACTIVE MOBILITY & DESIGN INC
Doing business as
BUDDY'S HOLIDAY MOBILITY
Practice address
6144 S US Highway 1
Fort Pierce, FL 34982-3951
Phone
(772) 465-9600
Fax
(772) 465-0966
NPI assigned
Sep 23, 2005
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
Mr. William D Bowes
Title
Secretary/Treasurer
Phone
(772) 465-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1507 FL Primary

Addresses

Primary practice location

6144 S US Highway 1
Fort Pierce, FL 34982-3951

Mailing address

6144 S US Highway 1
Fort Pierce, FL 34982-3951
Phone (772) 465-9600

Other names 1

  • BUDDY'S HOLIDAY MOBILITY Doing business as

National Provider Directory

National Provider Directory

Locations

6144 S US Highway 1
Fort Pierce, FL 34982
Phone (772) 465-9600

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265428437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349823951",
            "telephone_number": "772-465-9600",
            "fax_number": "772-465-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349823951",
            "telephone_number": "772-465-9600",
            "fax_number": "772-465-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE MOBILITY & DESIGN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "772-465-9600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUDDY'S HOLIDAY MOBILITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Pierce, FL

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.