Active NPI
Mobility Clinic LLC
- Prosthetic/Orthotic Supplier
- Tampa, FL
National Provider Identifier
1487446985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- MOBILITY CLINIC LLC
- Practice address
- 4809 Memorial Hwy Ste 200
Tampa, FL 33634-7515 - Phone
- (813) 517-1742
- NPI assigned
- May 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arlene Gillis, LPO, CP
- Title
- President
- Phone
- (813) 517-1741
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Pedorthist | 224L00000X | |||
| Prosthetist | 224P00000X | |||
| Orthotic Fitter | 225000000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
4809 Memorial Hwy Ste 200
Tampa, FL 33634-7515
Mailing address
4809 Memorial Hwy Ste 200
Tampa, FL 33634-7515
Phone (813) 517-1742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251124000488 | FL | DME Supplier - Medical Supply Company With Prosthetic Personnel | 0244722627 | Practice locations: Tampa, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Mobility Clinic, LLC | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
4809 Memorial Hwy
Ste 200
Tampa, FL 33634
Phone (813) 517-1742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774915200000",
"number": "1487446985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4809 MEMORIAL HWY STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336347515",
"telephone_number": "813-517-1742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4809 MEMORIAL HWY STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336347515",
"telephone_number": "813-517-1742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILITY CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-20",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A",
"authorized_official_last_name": "GILLIS",
"authorized_official_first_name": "ARLENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-517-1741",
"authorized_official_credential": "LPO, CP"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pedorthist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.