Active NPI
Home Therapy Inc.
Doing business as Active Medical & Mobility
- Durable Medical Equipment & Medical Supplies
- Titusville, FL
National Provider Identifier
1881124154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HOME THERAPY INC.
- Doing business as
- Active Medical & Mobility
- Practice address
- 3554 S Hopkins Ave Ste B
Titusville, FL 32780-5720 - Phone
- (321) 225-8960
- Fax
- (866) 430-7946
- NPI assigned
- Jun 19, 2017
- Last updated
- Aug 26, 2024
- Organization subpart
- Yes
- Parent organization
- HOME THERAPY INC. DBA ACTIVE MEDICAL & MOBILITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lorraine Buckner
- Title
- President
- Phone
- (321) 225-8960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3554 S Hopkins Ave Ste B
Titusville, FL 32780-5720
Mailing address
135 E Main St
Adamsville, TN 38310-2315
Phone (731) 632-9820
Other names 1
- Active Medical & Mobility
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lorraine@activemedicalmobility.com | Direct | |
| Direct Messaging Address | lorraine@activemedicalmobility.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180803002814 | FL | DME Supplier - Medical Supply Company | 2163325440 | Practice locations: Titusville, FL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Active Medical & Mobility
- Durable Medical Equipment & Medical Supplies
- Adamsville, TN
- NPI 1477564375
2163325440
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Home Therapy Inc. | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or… | Does not accept assignment |
National Provider Directory
National Provider Directory- Part of
- Vital Care of Corinth
Locations
1139 S Hopkins Ave
Titusville, FL 32780
3554 S Hopkins Ave
Ste B
Titusville, FL 32780
Phone (321) 225-8960
Interoperability endpoints
- lorraine@activemedicalmobility.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724630400000",
"number": "1881124154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 E MAIN ST",
"city": "ADAMSVILLE",
"state": "TN",
"postal_code": "383102315",
"telephone_number": "731-632-9820",
"fax_number": "866-430-7946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3554 S HOPKINS AVE STE B",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327805720",
"telephone_number": "321-225-8960",
"fax_number": "866-430-7946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME THERAPY INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOME THERAPY INC. DBA ACTIVE MEDICAL & MOBILITY",
"enumeration_date": "2017-06-19",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A",
"authorized_official_last_name": "BUCKNER",
"authorized_official_first_name": "LORRAINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "321-225-8960"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lorraine@activemedicalmobility.com",
"affiliation": "N",
"endpointDescription": "lorraine@activemedicalmobility.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "secure email",
"address_1": "3554 S Hopkins Ave Ste B",
"city": "Titusville",
"state": "FL",
"country_code": "US",
"postal_code": "327805720",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lorraine@activemedicalmobility.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "3554 S Hopkins Ave Ste B",
"city": "Titusville",
"state": "FL",
"country_code": "US",
"postal_code": "327805720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Active Medical & Mobility",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Titusville, FL
- Holiday CVS LLC (CVS Pharmacy 05864)
- Holiday CVS LLC (CVS Pharmacy #17343)
- Holiday CVS LLC (CVS Pharmacy 03668)
- Holistic Family Health Clinic, P.a.
- Amber Nicole Hollis, PT, DPT
- Hopkins Pharmacy Inc (Hopkins Pharmacy)
- Hopkins Pharmacy Inc
- Charles Hopkins Jr.
- Hospice of St. Francis, Inc. (St Francis Reflections Lifestage Care)
- Nadia Irene Hossain, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.