Organization Active NPI

Mobile Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Tarpon Springs, FL
National Provider Identifier
1962428383
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
PRO64 Issued in FL
Legal business name
MOBILE PROSTHETICS, INC.
Practice address
1006 N Florida Ave
Tarpon Springs, FL 34689-2113
Phone
(727) 726-6178
Fax
(727) 937-2831
NPI assigned
Jul 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Einar O. Ollander, C.P.
Title
Prosthetist
Phone
(727) 726-6178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X PRO64 FL Primary

Addresses

Primary practice location

1006 N Florida Ave
Tarpon Springs, FL 34689-2113

Mailing address

1006 N Florida Ave
Tarpon Springs, FL 34689-2113
Phone (727) 726-6178

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962428383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 N FLORIDA AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346892113",
            "telephone_number": "727-726-6178",
            "fax_number": "727-937-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 N FLORIDA AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346892113",
            "telephone_number": "727-726-6178",
            "fax_number": "727-937-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLLANDER",
        "authorized_official_first_name": "EINAR",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PROSTHETIST",
        "authorized_official_telephone_number": "727-726-6178",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "PRO64",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • 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.