Organization Active NPI

Mobility Access Providers

  • Customized Equipment (DME)
  • Shepherdsville, KY
National Provider Identifier
1992714653
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
019486 Issued in KY
Legal business name
MOBILITY ACCESS PROVIDERS
Practice address
264 Arnold Dr
Shepherdsville, KY 40165-6985
Phone
(502) 957-1003
Fax
(502) 957-1304
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Mr. John Mack Weldon
Title
Cheif Executive Officer
Phone
(502) 957-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 019486 KY Primary

Addresses

Primary practice location

264 Arnold Dr
Shepherdsville, KY 40165-6985

Mailing address

264 Arnold Dr
Shepherdsville, KY 40165-6985
Phone (502) 957-1003

Other identifiers 1

IdentifierTypeStateIssuer
90011883MedicaidKY

Other names 1

  • M.A.P. Other name

National Provider Directory

National Provider Directory
Tax ID family
Map2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1992714653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 ARNOLD DR",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656985",
            "telephone_number": "502-957-1003",
            "fax_number": "502-957-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 ARNOLD DR",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656985",
            "telephone_number": "502-957-1003",
            "fax_number": "502-957-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY ACCESS PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "WELDON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MACK",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "502-957-1003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KY",
            "license": "019486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90011883",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M.A.P.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shepherdsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.