Freedom Mobility Center, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

FREEDOM MOBILITY CENTER, INC

Practice address

1238 N 12TH St Ste 3
Middlesboro, KY 40965-5017

Phone

(704) 658-0817

NPI assigned

Aug 7, 2024

Last updated

Aug 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Gilbert Cotham

Title

Ceo

Phone

(704) 658-0817

Specialties & licenses 1

Addresses

Tax ID family

Freedom Mobility Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Freedom Mobility Center, Inc.

  • Customized Equipment (DME)
  • Savannah, GA
  • NPI 1073174603
  NPD tax ID
• Freedom Mobility Center, Inc.

  • Customized Equipment (DME)
  • Ronceverte, WV
  • NPI 1477148773
  NPD tax ID
• Freedom Mobility Center, Inc.

  • Customized Equipment (DME)
  • Columbia, SC
  • NPI 1710408836
  NPD tax ID
• Freedom Mobility Center, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mooresville, NC
  • NPI 1871665737
  NPD tax ID

Locations

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1417788944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TALBERT POINTE DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174377",
            "telephone_number": "704-658-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 N 12TH ST STE 3",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409655017",
            "telephone_number": "704-658-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MOBILITY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "COTHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-658-0817"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Health Care Associates of Corbin
• Bridgett Farley
• Fast Pace Kentucky PLLC (Fast Pace Health)
• Breanna Paige Ferguson, PHARMD
• Fountain Square Pharmacy (Fountain Square Pharmacy LTC)
• Ashley N. Fultz, APRN, FNP-BC
• Ethan Blake Gambrel, PT, DPT
• Michelle A Garrett, O.D.
• Deborah L. Gever, MD
• Kalynn Ray Gibson, APRN, CNP

• Customized Equipment (DME) in Middlesboro, KY
• Providers in Middlesboro, KY by specialty
• Customized Equipment (DME) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.