Organization Active NPI

Mobility Plus LLC

  • Oxygen Equipment & Supplies (DME)
  • Tahlequah, OK
National Provider Identifier
1881623726
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MOBILITY PLUS LLC
Practice address
1211 S Parkhill Rd
Tahlequah, OK 74464-5235
Phone
(918) 453-1177
Fax
(918) 453-1194
NPI assigned
Jul 2, 2006
Last updated
Apr 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Authorized official

Name
Scott A Knowles
Title
Executive General Manager
Phone
(918) 384-6779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

1211 S Parkhill Rd
Tahlequah, OK 74464-5235

Mailing address

1601 N Main St
Muskogee, OK 74401-4451
Phone (918) 686-0218

Other identifiers 1

IdentifierTypeStateIssuer
100634600GMedicaidOK

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1881623726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N MAIN ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014451",
            "telephone_number": "918-686-0218",
            "fax_number": "918-684-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S PARKHILL RD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645235",
            "telephone_number": "918-453-1177",
            "fax_number": "918-453-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE GENERAL MANAGER",
        "authorized_official_telephone_number": "918-384-6779"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100634600G",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.