Customized Mobility, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CUSTOMIZED MOBILITY, LLC

Practice address

514 Escanaba LN
Muskegon, MI 49442-7604

Phone

(616) 805-6090

NPI assigned

Apr 26, 2011

Last updated

Apr 26, 2011By 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

Mr. Michael R Johnson

Title

President/Ceo

Phone

(616) 805-6090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1477844389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 ESCANABA LN",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494427604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 ESCANABA LN",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494427604",
            "telephone_number": "616-805-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMIZED MOBILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "616-805-6090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brayden Curtis
• Burl Lee Curtis
• Jamey Faye Curtis
• Peter W Curtis, PT, DPT
• Thomas F Cushing, PA
• Marcia D'Alcorn, R.PH.
• Julimarie Dagen, N.P.
• Timothy Dahlke
• Randolph Dahlquist, RPH
• Ashley Dahms

• Durable Medical Equipment & Medical Supplies in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.