Medical Mobility Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4811410001 Issued in IN

Legal business name

MEDICAL MOBILITY INC

Practice address

10020 Lima Rd
Suite D
Fort Wayne, IN 46818-9144

Phone

(260) 490-8485

Fax

(260) 490-9874

NPI assigned

Jul 20, 2005

Last updated

Aug 22, 2020By 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. Gary Larson

Title

Owner

Phone

(260) 490-8485

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922007970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 LIMA RD",
            "address_2": "SUITE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468189144",
            "telephone_number": "260-490-8485",
            "fax_number": "260-490-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 LIMA RD",
            "address_2": "SUITE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468189144",
            "telephone_number": "260-490-8485",
            "fax_number": "260-490-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MOBILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-490-8485",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "4811410001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn McQuinn
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• Medical Mobility, LLC
• Medical Nutritional Therapists, Inc
• Medical Service Company (MSC Sleep Fort Wayne)
• Melissa Marlene Medlock, O.D.
• Autumn Brooke Meece, LAT, ATC

• Durable Medical Equipment & Medical Supplies in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.