Water Walkers, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WATER WALKERS, LLC

Practice address

3200 W Centre Ave
Ste 201
Portage, MI 49024-4889

Phone

(269) 365-3677

Fax

(866) 431-9323

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Eldon Moffit

Title

President

Phone

(269) 207-6691

Specialties & licenses 1

Addresses

Other names 1

• Sleep Care Supplies and Equipment Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1992953046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W CENTRE AVE",
            "address_2": "STE 201",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244889",
            "telephone_number": "269-365-3677",
            "fax_number": "866-431-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W CENTRE AVE",
            "address_2": "STE 201",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244889",
            "telephone_number": "269-365-3677",
            "fax_number": "866-431-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER WALKERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "MOFFIT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ELDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-207-6691",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Care Supplies and Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamen Warren, LMT
• Ann Warsop
• Natalie Washington
• Sarah Anne Wasserman, D.O.
• Sylvia A Wasson, PHARMD
• Alaina Waterloo
• Cassie Hobbs Watts, LPC
• Corina Ivy Watts
• Courtney Grace Way, LCAT, RDT, LLPC, NCC
• Lasondra Wayne

• Durable Medical Equipment & Medical Supplies in Portage, MI
• Providers in Portage, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.