Mobility Prosthetics, LLC

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

MOBILITY PROSTHETICS, LLC

Practice address

480 E Winchester St Ste 275
Murray, UT 84107-7588

Phone

(801) 997-1367

Fax

(801) 997-1367

NPI assigned

Oct 12, 2018

Organization subpart

No

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

Authorized official

Name

Brian J Greer, CP, BOCONPI 1811184229

Title

Owner

Phone

(801) 997-1367

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

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

Tax ID family

Mobility2 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.

• Mobility Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Orem, UT
  • NPI 1124966577
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian J Greer, CP, BOCO

  • Prosthetist
  • Murray, UT
  • NPI 1811184229

  Orthotist

  NPD Authorized official
• Robert Patterson Rich

  • Prosthetist
  • Murray, UT
  • NPI 1639099138
  NPD (past)

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1295200558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 E WINCHESTER ST STE 275",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077588",
            "telephone_number": "801-997-1367",
            "fax_number": "801-997-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 E WINCHESTER ST STE 275",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077588",
            "telephone_number": "801-997-1367",
            "fax_number": "801-997-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-997-1367",
        "authorized_official_credential": "CP, BOCO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MJS Dental, Inc
• MMG LLC
• MMPS Murray
• Mobile Echocardiography Inc
• Mobility in Motion LLC
• Mobley MD Facial Plastic and Reconstructive Surgery, PLLC
• Steven Ross Mobley, MD
• Delia Moctezuma, RD
• Emory Elisabeth Moench, RBT
• Steven D Moffit, PT

• Prosthetist in Murray, UT
• Providers in Murray, UT by specialty
• Prosthetist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.