Active Mobility, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ACTIVE MOBILITY, INC

Practice address

5508 Fort Ave Ste a
Lynchburg, VA 24502-5326

Phone

(434) 237-8004

Fax

(434) 237-8005

NPI assigned

Dec 26, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Melvin Dwight Atkinson

Title

Owner

Phone

(434) 237-8004

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Active Mobility Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Active Mobility, Inc.

  • Customized Equipment (DME)
  • Waynesboro, VA
  • NPI 1336328434
  NPD tax ID
• Active Mobility, Inc.

  • Customized Equipment (DME)
  • Roanoke, VA
  • NPI 1942393244
  NPD tax ID

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902961568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 FORT AVE STE A",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025326",
            "telephone_number": "434-237-8004",
            "fax_number": "434-237-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 FORT AVE STE A",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025326",
            "telephone_number": "434-237-8004",
            "fax_number": "434-237-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE MOBILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-237-8004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010157480",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Customized Equipment (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.