Mobility Support Systems Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

1441 Issued in FL

Legal business name

MOBILITY SUPPORT SYSTEMS INC

Doing business as

Advanced Mobility and Medical Depot

Practice address

560 Pine Island Rd
Ste 2
N Ft Myers, FL 33903

Phone

(239) 997-3000

Fax

(239) 997-1276

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Anthony B Koepp

Title

Ceo

Phone

(239) 997-3000

Specialties & licenses 1

Addresses

Other names 1

• ADVANCED MOBILITY AND MEDICAL DEPOT Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

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

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1780680108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 PINE ISLAND RD",
            "address_2": "STE 2",
            "city": "N FT MYERS",
            "state": "FL",
            "postal_code": "339033701",
            "telephone_number": "239-997-3000",
            "fax_number": "239-997-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 PINE ISLAND RD",
            "address_2": "STE 2",
            "city": "N FT MYERS",
            "state": "FL",
            "postal_code": "33903",
            "telephone_number": "239-997-3000",
            "fax_number": "239-997-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY SUPPORT SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "KOEPP",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-997-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "1441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED MOBILITY AND MEDICAL DEPOT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADVANCED MOBILITY AND MEDICAL DEPOT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Faust Marjon, PHD
• Mark C. Means, D.C., P.a.
• Mark Clinton Means, D.C.
• Rick Allan Means II, D.C.
• Rick Allan Means, D.C.
• Daniel W Perkins, MEDPT
• Luzday Rencurrell Aguilar, RN
• Rick a Means II DC PA
• Rick a. Means, D.C., P.a.
• Jonathan David Scheeler, DPT

• Customized Equipment (DME) in N Ft Myers, FL
• Providers in N Ft Myers, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.