Organization Active NPI

Home Therapy Inc.

Doing business as Active Medical & Mobility

  • Durable Medical Equipment & Medical Supplies
  • Titusville, FL
National Provider Identifier
1881124154
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HOME THERAPY INC. DBA ACTIVE MEDICAL & MOBILITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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).

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Home Therapy Inc.3554 S Hopkins Ave, Titusville, FL 32780-5720(321) 225-8960 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 assignmentParticipating since Aug 11, 2003

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

  • Direct secure messaging: 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

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.

Verify at the official NPI Registry.