Active NPI
Chattanooga Mobility Center, Inc.
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
National Provider Identifier
1841260809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0000000683
- Legal business name
- CHATTANOOGA MOBILITY CENTER, INC.
- Practice address
- 4825 Dayton Blvd
Suite a
Chattanooga, TN 37415-1753 - Phone
- (423) 875-3456
- Fax
- (423) 875-4517
- NPI assigned
- Jan 24, 2006
- Last updated
- Aug 8, 2007
- 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. Robert Edward Drake
- Title
- Owner/President
- Phone
- (423) 875-3456
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0000000683 | TN | Primary |
Addresses
Primary practice location
4825 Dayton Blvd
Suite a
Chattanooga, TN 37415-1753
Mailing address
4825 Dayton Blvd
Suite a
Chattanooga, TN 37415-1753
Phone (423) 875-3456
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1454647 | Medicaid | TN | |
| 4096617 | Other | TN | BLUECROSSPROVIDERNUMBER |
National Provider Directory
National Provider DirectoryLocations
4825 Dayton Blvd
Ste A
Chattanooga, TN 37415
Phone (423) 875-3456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186531200000",
"number": "1841260809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 DAYTON BLVD",
"address_2": "SUITE A",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374151753",
"telephone_number": "423-875-3456",
"fax_number": "423-875-4517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4825 DAYTON BLVD",
"address_2": "SUITE A",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374151753",
"telephone_number": "423-875-3456",
"fax_number": "423-875-4517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHATTANOOGA MOBILITY CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-24",
"last_updated": "2007-08-08",
"status": "A",
"authorized_official_last_name": "DRAKE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "423-875-3456",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "0000000683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1454647",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSPROVIDERNUMBER",
"identifier": "4096617",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
- Chattanooga Hamilton County Hospital Authority
- Chattanooga Kidney Centers of North LLC
- Chattanooga Kidney Centers, LLC
- Chattanooga Lung Specialists, LLC
- Chattanooga Medical Investors, Limited Partnership (LIfe Care Center of Chattanooga)
- Chattanooga Neurology Associates PLLC
- Chattanooga OB GYN Group, PLLC
- Chattanooga OB-GYN Center, LLC
- Chattanooga Oncology and Hematology Associates
- Chattanooga Oncology and Hematology Associates (Coha)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.