NPIMap

Organization Active NPI

Mobility Rehab Products, LLC

  • Durable Medical Equipment & Medical Supplies
  • Westminster, MD
National Provider Identifier
1659361202
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
06013861 Issued in MD
Legal business name
MOBILITY REHAB PRODUCTS, LLC
Practice address
1106 Business Parkway South
A-1
Westminster, MD 21157
Phone
(410) 833-2603
Fax
(410) 833-2640
NPI assigned
Oct 25, 2005
Last updated
Nov 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Mr. Marc Alan Myzal
Title
Coo
Phone
(410) 833-2603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 06013861 MD Primary

Addresses

Primary practice location

1106 Business Parkway South
A-1
Westminster, MD 21157

Mailing address

1106 Business Parkway South
A-1
Westminster, MD 21157
Phone (410) 833-2603

Other identifiers 1

IdentifierTypeStateIssuer
1259030001OtherMDPTAN

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1106 Business Pkwy S
Ste A1
Westminster, MD 21157
Phone (410) 833-2603

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1659361202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 BUSINESS PARKWAY SOUTH",
            "address_2": "A-1",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-833-2603",
            "fax_number": "410-833-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 BUSINESS PARKWAY SOUTH",
            "address_2": "A-1",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-833-2603",
            "fax_number": "410-833-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY REHAB PRODUCTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "MYZAL",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "410-833-2603",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "06013861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1259030001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.