NPIMap

Organization Active NPI

Active Mobility, Inc.

  • Customized Equipment (DME)
  • Waynesboro, VA
National Provider Identifier
1336328434
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ACTIVE MOBILITY, INC.
Practice address
2374 Jefferson Hwy
Suite 108
Waynesboro, VA 22980-6503
Phone
(540) 942-9600
Fax
(540) 942-9700
NPI assigned
Oct 25, 2007
Last updated
Aug 11, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ACTIVE MOBILITY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Melvin D. Atkinson
Title
Owner/President
Phone
(540) 776-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

2374 Jefferson Hwy
Suite 108
Waynesboro, VA 22980-6503

Mailing address

2374 Jefferson Hwy
Suite 108
Waynesboro, VA 22980-6503
Phone (540) 942-9600

Other identifiers 1

IdentifierTypeStateIssuer
010157480MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Active Mobility Inc3 organizations share this tax ID, including this one
Part of
Active Mobility Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2374 Jefferson Hwy
Ste 108
Waynesboro, VA 22980
Phone (540) 942-9600

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1336328434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2374 JEFFERSON HWY",
            "address_2": "SUITE 108",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229806503",
            "telephone_number": "540-942-9600",
            "fax_number": "540-942-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2374 JEFFERSON HWY",
            "address_2": "SUITE 108",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229806503",
            "telephone_number": "540-942-9600",
            "fax_number": "540-942-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE MOBILITY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACTIVE MOBILITY, INC.",
        "enumeration_date": "2007-10-25",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "540-776-0005"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010157480",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.