Organization Active NPI

Motility MLK, LLC

  • Prosthetic/Orthotic Supplier
  • Hot Springs, AR
National Provider Identifier
1710363486
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CP2198 Issued in AR
Legal business name
MOTILITY MLK, LLC
Practice address
120 Hill St
Hot Springs, AR 71901-6238
Phone
(501) 620-4800
Fax
(848) 272-8975
NPI assigned
Aug 5, 2015
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Greg Johnson, CPONPI 1699928432
Title
Cpo
Phone
(417) 726-9964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Prosthetic/Orthotic Supplier 335E00000X CP2198 AR Primary

Addresses

Primary practice location

120 Hill St
Hot Springs, AR 71901-6238

Mailing address

1742 E Joyce Blvd Ste 1
Fayetteville, AR 72703-5260
Phone (501) 620-4800

Other identifiers 4

IdentifierTypeStateIssuer
201241430AMedicaidKS
Q036977MedicaidTN
1710363486MedicaidMO
213521716MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151027000515 AR DME Supplier - Prosthetic Personnel 7012226426 Practice locations: Hot Springs, AR
O20180507000428 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072877612 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hot Springs, AR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Motility MLK LLC120 Hill St, Hot Springs, AR 71901-6238(501) 620-4800 Wheelchair Seating/Cushions|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Sep 16, 2015

National Provider Directory

National Provider Directory

Locations

120 Hill St
Hot Springs, AR 71901
Phone (501) 620-4800

3634 Central Ave
Ste D
Hot Springs, AR 71913
Phone (501) 620-4800

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1710363486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 E JOYCE BLVD STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035260",
            "telephone_number": "501-620-4800",
            "fax_number": "848-272-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HILL ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016238",
            "telephone_number": "501-620-4800",
            "fax_number": "848-272-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTILITY MLK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CPO",
        "authorized_official_telephone_number": "417-726-9964",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AR",
            "license": "CP2198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201241430A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q036977",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710363486",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213521716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.