Organization Active NPI

Active Mobility, Inc.

  • Customized Equipment (DME)
  • Roanoke, VA
National Provider Identifier
1942393244
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ACTIVE MOBILITY, INC.
Practice address
1229 Summit Ave SW
Roanoke, VA 24015-2530
Phone
(540) 776-0005
Fax
(540) 776-0035
NPI assigned
Oct 2, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Louanne Abercrombie Semones
Title
Director of Operations
Phone
(540) 776-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X VA Primary

Addresses

Primary practice location

1229 Summit Ave SW
Roanoke, VA 24015-2530

Mailing address

1229 Summit Ave SW
Roanoke, VA 24015-2530
Phone (540) 776-0005

Other identifiers 1

IdentifierTypeStateIssuer
010157480MedicaidVA

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942393244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 SUMMIT AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152530",
            "telephone_number": "540-776-0005",
            "fax_number": "540-776-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 SUMMIT AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152530",
            "telephone_number": "540-776-0005",
            "fax_number": "540-776-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SEMONES",
        "authorized_official_first_name": "LOUANNE",
        "authorized_official_middle_name": "ABERCROMBIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "540-776-0005",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": []
}

Other providers in Roanoke, VA

Sources for this page

  • 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.