Organization Active NPI

Scooters America LLC

  • Customized Equipment (DME)
  • Portland, OR
National Provider Identifier
1891707030
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
SCOOTERS AMERICA LLC
Practice address
7525 NE Ambassador PL Ste B
Portland, OR 97220-6808
Phone
(503) 253-4655
Fax
(032) 534-6405
NPI assigned
Aug 13, 2006
Organization subpart
Yes
Parent organization
SCOOTERS AMERICA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Jeffrey Matukewicz
Title
Secretary
Phone
(423) 756-2268

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

7525 NE Ambassador PL Ste B
Portland, OR 97220-6808

Mailing address

5959 Shallowford Rd Ste 443
Chattanooga, TN 37421-2245
Phone (423) 756-2268

Other identifiers 9

IdentifierTypeStateIssuer
202382OtherMOBCBS
200414480AMedicaidKS
159247716MedicaidAR
90013053MedicaidKY
1016432310001MedicaidPA
OHCA200223MedicaidOK
0722710MedicaidIA
181416MedicaidOR
626221808MedicaidMO

Other names 1

  • American Seating & Mobility Doing business as

National Provider Directory

National Provider Directory
Part of
Scooters America LLC

Member of 2

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

Locations

1640 E Schneidmiller Ave
Post Falls, ID 83854
Phone (208) 773-8448

1911 King Ave W
Ste 2
Billings, MT 59102
Phone (406) 651-0055

454 Moore Ln
Ste 3
Billings, MT 59101
Phone (406) 651-0055

7525 NE Ambassador Pl
Ste B
Portland, OR 97220
Phone (503) 253-4655

5835 NE 122nd Ave
Ste 165
Portland, OR 97230

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1891707030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD STE 443",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212245",
            "telephone_number": "423-756-2268",
            "fax_number": "423-266-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 NE AMBASSADOR PL STE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972206808",
            "telephone_number": "503-253-4655",
            "fax_number": "032-534-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOOTERS AMERICA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCOOTERS AMERICA LLC",
        "enumeration_date": "2006-08-13",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "MATUKEWICZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "423-756-2268"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "202382",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200414480A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159247716",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90013053",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016432310001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OHCA200223",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0722710",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181416",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626221808",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Seating & Mobility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Seating & Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.