Mobility Prosthetic and Orthotic Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOBILITY PROSTHETIC AND ORTHOTIC SERVICES LLC

Practice address

400 Shadow LN Ste 110
Las Vegas, NV 89106-4355

Phone

(702) 800-6520

Fax

(702) 800-6492

NPI assigned

Oct 6, 2021

Organization subpart

No

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

Authorized official

Name

Ilea Alexis Mattison

Title

Administrator

Phone

(928) 377-4180

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mobility Prosthetic and Orthotic Services LLC

  • Prosthetic/Orthotic Supplier
  • Kingman, AZ
  • NPI 1285258996

  7214351477

  Same PAC ID
• Mobility Prosthetic and Orthotic Services LLC

  • Prosthetic/Orthotic Supplier
  • Lake Havasu City, AZ
  • NPI 1508528654

  7214351477

  Same PAC ID

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

Tax ID family

Mobility Prosthetic and Orthotic Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mobility Prosthetic and Orthotic Services LLC

  • Prosthetic/Orthotic Supplier
  • Kingman, AZ
  • NPI 1285258996
  NPD tax ID
• Mobility Prosthetic and Orthotic Services LLC

  • Prosthetic/Orthotic Supplier
  • Lake Havasu City, AZ
  • NPI 1508528654
  NPD tax ID

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1871255901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SHADOW LN STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064355",
            "telephone_number": "702-800-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHADOW LN STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064355",
            "telephone_number": "702-800-6520",
            "fax_number": "702-800-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY PROSTHETIC AND ORTHOTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "MATTISON",
        "authorized_official_first_name": "ILEA",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-377-4180"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250013197",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mobile Wellbeing LLC
• Mobile-Med Work Health Solutions, Inc. (Work Health Solutions)
• Mobileonedocs, LLC
• Mobileview Diagnostics LLC
• Mobility Maintenance by Lebow, PLLC
• Narciss Mobini, MD
• Alaine Mobley
• Ronald Mobley
• Teala Mobley
• Rhiannon L Moccio

• Durable Medical Equipment & Medical Supplies in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.