Active NPI
Mobility Rehab Products, LLC
- Durable Medical Equipment & Medical Supplies
- Easton, PA
National Provider Identifier
1871801209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 3000008264
- Legal business name
- MOBILITY REHAB PRODUCTS, LLC
- Practice address
- 2222 Sullivan Trail
Easton, PA 18040 - Phone
- (610) 258-6000
- NPI assigned
- Sep 20, 2010
- Last updated
- Sep 20, 2010
- 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
- Dr. Robert L Huddler Jr., P.T, DPT
- Title
- Coo
- Phone
- (410) 833-2603
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 3000008264 | PA | Primary |
Addresses
Primary practice location
2222 Sullivan Trail
Easton, PA 18040
Mailing address
2222 Sullivan TRL
Easton, PA 18040-7958
Phone (610) 252-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019178610003 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Mobility Rehab Products LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Customized Equipment (DME)
- Anderson, SC
- NPI 1033350616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284940800000",
"number": "1871801209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 SULLIVAN TRL",
"city": "EASTON",
"state": "PA",
"postal_code": "180407958",
"telephone_number": "610-252-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 SULLIVAN TRAIL",
"city": "EASTON",
"state": "PA",
"postal_code": "18040",
"telephone_number": "610-258-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILITY REHAB PRODUCTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-20",
"last_updated": "2010-09-20",
"status": "A",
"authorized_official_last_name": "HUDDLER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "410-833-2603",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "P.T, DPT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "3000008264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019178610003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.