NPIMap

Organization Active NPI

Mobility Specialist LLC

  • Physical Therapy Clinic/Center
  • Paoli, PA
National Provider Identifier
1316415433
Registry record updated Jun 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MOBILITY SPECIALIST LLC
Practice address
16 Industrial Blvd Ste 101
Paoli, PA 19301-1609
Phone
(610) 533-4955
NPI assigned
Nov 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2020

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

Authorized official

Name
Jillian Alati, PT, DPTNPI 1649772989
Title
Owner
Phone
(610) 209-7529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

16 Industrial Blvd Ste 101
Paoli, PA 19301-1609

Mailing address

16 Industrial Blvd Ste 101
Paoli, PA 19301-1609
Phone (610) 533-4955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190218001597 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4587901616 Receives reassigned benefits from 7 practitioners
Practice locations: Paoli, PA

National Provider Directory

National Provider Directory

Locations

16 Industrial Blvd
Ste 101
Paoli, PA 19301
Phone (610) 484-6232

917 Old Fern Hill Rd
Ste 500
West Chester, PA 19380
Phone (610) 533-4955

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593216000000",
    "number": "1316415433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 INDUSTRIAL BLVD STE 101",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011609",
            "telephone_number": "610-533-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 INDUSTRIAL BLVD STE 101",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011609",
            "telephone_number": "610-533-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A",
        "authorized_official_last_name": "ALATI",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-209-7529",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.