Mobility Prosthetic and Orthotic Services LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MOBILITY PROSTHETIC AND ORTHOTIC SERVICES LLC

Practice address

1675 Mesquite Ave Ste a
Lake Havasu City, AZ 86403-5665

Phone

(928) 680-4089

Fax

(928) 680-0089

NPI assigned

Oct 6, 2021

Organization subpart

No

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

Authorized official

Name

Rajiv Roy

Title

Clinical Director

Phone

(714) 390-7533

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mobility Prosthetic and Orthotic Services LLC

  • Prosthetic/Orthotic Supplier
  • Kingman, AZ
  • NPI 1285258996

  7214351477

  Same PAC ID
• Mobility Prosthetic and Orthotic Services LLC

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1871255901

  7214351477

  Same PAC ID

These 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

Tax ID family

Mobility Prosthetic and Orthotic Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mobility Prosthetic and Orthotic Services LLC

  • Prosthetic/Orthotic Supplier
  • Kingman, AZ
  • NPI 1285258996
  NPD tax ID
• Mobility Prosthetic and Orthotic Services LLC

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1871255901
  NPD tax ID

Locations

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1508528654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 MESQUITE AVE STE A",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035665",
            "telephone_number": "928-680-4089",
            "fax_number": "928-680-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 MESQUITE AVE STE A",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035665",
            "telephone_number": "928-680-4089",
            "fax_number": "928-680-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY PROSTHETIC AND ORTHOTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "714-390-7533"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blondena Unlia Miley, FNP
• Laura Miller, COTA/L
• Joel Mills
• Todd Pete Minkey Jr., LACT
• Taylor Ann Miracle, DC
• Mohave Centre for Plastic Surgery
• Mohave Health and Wellness Center LLC
• Mohave Healthcare, Inc.
• Mohave Infectious Disease,PLLC
• Mohave Medical Imaging Center

• Prosthetic/Orthotic Supplier in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Prosthetic/Orthotic Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.

Verify at the official NPI Registry.