Specialized Mobility, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPECIALIZED MOBILITY, LLC

Practice address

2361 Dutch Fork Rd
Chapin, SC 29036-8569

Phone

(803) 749-3613

Fax

(803) 749-0263

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Martin Phillip O'Connor

Title

President

Phone

(803) 749-3613

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487760112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "BALLENTINE",
            "state": "SC",
            "postal_code": "290020545",
            "telephone_number": "803-749-3613",
            "fax_number": "803-749-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 DUTCH FORK RD",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368569",
            "telephone_number": "803-749-3613",
            "fax_number": "803-749-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED MOBILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-749-3613",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME981",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Lambert Shealy, RN
• Virginia S Sightler, RN
• Toni Gail Silver, FNP
• Abigail Smith
• Casie Smith, NP-C
• Candace Sprouse, LISW-CP, OSW-C
• Suzanne Brooke Starkey, PT OCS
• Lauren Kendall Starks, PTA
• Mary Kathryn Dickson Staub, PA-C
• Stephen Andrew Stellfox, D.C.

• Durable Medical Equipment & Medical Supplies in Chapin, SC
• Providers in Chapin, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.