The Body Builder, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE BODY BUILDER, INC.

Doing business as

Freedom Mobility

Practice address

1121 Walnut Street
Coffeyville, KS 67337-5921

Phone

(620) 688-6555

Fax

(620) 251-3148

NPI assigned

Jan 14, 2011

Last updated

May 4, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

THE BODY BUILDER, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Tammy Jo Overton

Title

Owner

Phone

(620) 688-6555

Specialties & licenses 2

Addresses

Other names 1

• Freedom Mobility Doing business as

Part of

The Body Builder Inc

Locations

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1477858884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 WALNUT STREET",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673375921",
            "telephone_number": "620-688-6555",
            "fax_number": "620-251-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 WALNUT STREET",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673375921",
            "telephone_number": "620-688-6555",
            "fax_number": "620-251-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BODY BUILDER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE BODY BUILDER, INC.",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "OVERTON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-688-6555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Coffeyville, KS
• Providers in Coffeyville, KS by specialty
• Durable Medical Equipment & Medical Supplies in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.