Active NPI
Maximum Mobility LLC
- Customized Equipment (DME)
- Sayre, PA
National Provider Identifier
1780749036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- MAXIMUM MOBILITY LLC
- Practice address
- 117 N Keystone Ave
Sayre, PA 18840 - Phone
- (570) 882-7436
- Fax
- (570) 882-7438
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey Gerard Klossner, OTR/L, ATP, RTS
- Title
- Owner
- Phone
- (570) 882-7436
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
117 N Keystone Ave
Sayre, PA 18840
Mailing address
117 N Keystone Ave
Sayre, PA 18840-1403
Phone (570) 882-7436
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024644040001 | Medicaid | PA | |
| 02987039 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
117 N Keystone Ave
Sayre, PA 18840
Phone (570) 882-7436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527033600000",
"number": "1780749036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 N KEYSTONE AVE",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401403",
"telephone_number": "570-882-7436",
"fax_number": "570-882-7438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N KEYSTONE AVE",
"city": "SAYRE",
"state": "PA",
"postal_code": "18840",
"telephone_number": "570-882-7436",
"fax_number": "570-882-7438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIMUM MOBILITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2018-05-23",
"status": "A",
"authorized_official_last_name": "KLOSSNER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "GERARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-882-7436",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OTR/L, ATP, RTS"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1024644040001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02987039",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sayre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.