Organization Active NPI

Mobility Plus, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Tallahassee, FL
National Provider Identifier
1710086467
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1312079 Issued in FL
Legal business name
MOBILITY PLUS, INC.
Practice address
3025 Nathan LN
Tallahassee, FL 32308-6289
Phone
(850) 386-4606
Fax
(850) 385-6730
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Rutherford J. Klein
Title
President
Phone
(850) 386-4606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1312079 FL Primary

Addresses

Primary practice location

3025 Nathan LN
Tallahassee, FL 32308-6289

Mailing address

3025 Nathan LN
Tallahassee, FL 32308-6289
Phone (850) 386-4606

Other identifiers 5

IdentifierTypeStateIssuer
R9614OtherFLBCBS OF FL PROVIDER ID
687713379MedicaidFL
758735423BMedicaidGA
026731700MedicaidFL
690474296MedicaidFL

National Provider Directory

National Provider Directory

Locations

3025 Nathan Ln
Tallahassee, FL 32308
Phone (850) 386-4606

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1710086467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 NATHAN LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086289",
            "telephone_number": "850-386-4606",
            "fax_number": "850-385-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 NATHAN LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086289",
            "telephone_number": "850-386-4606",
            "fax_number": "850-385-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY PLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "RUTHERFORD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-386-4606"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL PROVIDER ID",
            "identifier": "R9614",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687713379",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758735423B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026731700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690474296",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.