Mobility Matters and Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOBILITY MATTERS AND MEDICAL SUPPLY INC.

Practice address

115 Lake St N
Forest Lake, MN 55025-2504

Phone

(651) 464-9975

Fax

(651) 464-6425

NPI assigned

Aug 12, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Tabatha Lynn Obert

Title

President

Phone

(651) 464-9975

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1790917573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LAKE ST N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252504",
            "telephone_number": "651-464-9975",
            "fax_number": "651-464-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LAKE ST N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252504",
            "telephone_number": "651-464-9975",
            "fax_number": "651-464-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY MATTERS AND MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "OBERT",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-464-9975",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.