Mobility Solutions Prosthetics and Orthotics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MOBILITY SOLUTIONS PROSTHETICS AND ORTHOTICS, LLC

Practice address

1462 Commercial St NE
Salem, OR 97301

Phone

(503) 339-7096

Fax

(503) 990-6375

NPI assigned

Jun 12, 2014

Organization subpart

No

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

Authorized official

Name

Shannon Levin, CPONPI 1881007607

Title

Owner/Practitioner

Phone

(503) 339-7096

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Levin, CPO

  • Prosthetic/Orthotic Supplier
  • Salem, OR
  • NPI 1881007607
  NPD Authorized official

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1639583198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 COMMERCIAL ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-339-7096",
            "fax_number": "503-990-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 COMMERCIAL ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-339-7096",
            "fax_number": "503-990-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY SOLUTIONS PROSTHETICS AND ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "503-339-7096",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sviatlana Mitsina-Brown, PSYD
• Jerrod Carl Mitzel, M.D.
• Crystal Miyake, MSCCCA
• Samantha M Mize
• Zebedee Mize
• Modern Nose Clinic LLC
• Modern Nose Clinic LLC
• Maya Modzelewska, M.D.
• Gordon H Moe, M.D.
• Mohammed Aboabid Mohammed

• Prosthetic/Orthotic Supplier in Salem, OR
• Providers in Salem, OR by specialty
• Prosthetic/Orthotic Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.