Mobility Innovated, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

MOBILITY INNOVATED, LLC

Practice address

202 N Central Ave
Medford, OR 97501-5928

Phone

(541) 690-8614

NPI assigned

Oct 14, 2021

Organization subpart

No

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

Authorized official

Name

Elle Carlson, DPTNPI 1376001339

Title

Physical Therapist

Phone

(541) 892-4210

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elle Carlson, DPT

  • Physical Medicine & Rehabilitation Physician
  • San Francisco, CA
  • NPI 1376001339
  NPD Authorized official

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1962165191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 CHELTENHAM WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N CENTRAL AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975015928",
            "telephone_number": "541-690-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY INNOVATED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "ELLE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "541-892-4210",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Elaine Mitchell, RN
• Anuj H Mittal, MD
• Jayesh Mittal, MD
• Susan M. Mix, FNP
• Mobile Care Inc
• Amanda Lynn Mock
• Corliss Helen Mock, LPC
• Melanie Mock, LPC
• Modern Dental Care, P.C.
• Shannon Nichole Modjeski

• Orthopedic Physical Therapist in Medford, OR
• Providers in Medford, OR by specialty
• Orthopedic Physical Therapist in Oregon

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