Mobility Life LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOBILITY LIFE LLC

Practice address

206 N Division St
Carterville, IL 62918-1247

Phone

(618) 305-9035

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Brennan Schmidt

Title

Owner

Phone

(618) 305-9035

Specialties & licenses 1

Addresses

Other names 1

• Mobility Life Doing business as

Locations

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1730802406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N DIVISION ST",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629181247",
            "telephone_number": "618-305-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N DIVISION ST",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629181247",
            "telephone_number": "618-305-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "BRENNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-305-9035",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Breanne Nicole Mekelburg, LPN
• Gessie Miller, BA
• Sharrie Lynn Miller, MA CCC-SLP
• Patricia Mixon
• Mobility Life
• Melinda Beth Moore, DPM
• Robin Moore
• Billynn J Moriarity
• Jill Elizabeth Morthland, MSW
• Linda Muckey

• All providers in Carterville, IL
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.