Active Mobility, Llc in N Charleston - Prosthetic/orthotic Supplier
Active Mobility, Llc - NPI 1811968720
Active Mobility, Llc is a Prosthetic/orthotic Supplier in N Charleston, South Carolina. Active Mobility, Llc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Active Mobility, Llc is 1811968720. The last update date is 2012-08-09.
Active Mobility, Llc's current location address is 3465 W Montague Ave Ste 101, N Charleston, South Carolina. You can contact this provider via phone number 8435779577 and fax number 8435779574. The mailing address for Active Mobility, Llc is 3465 W Montague Ave Ste 101, N Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Active Mobility, Llc |
|---|---|
| Address | 3465 W Montague Ave Ste 101, N Charleston, South Carolina |
| Phone Number | 8435779577 |
| Fax Number | 8435779574 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Hooper R Clarence |
| Credentials | CPO |
| Telephone Number | 8435779577 |
NPI Number Detail
| NPI Number | 1811968720 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2012-08-09 |
Provider Mailing Address Detail
| Address | 3465 W Montague Ave Ste 101 |
|---|---|
| City | N Charleston |
| State | South Carolina (SC) |
| Post Code | 294185938 |
| Phone Number | 8435779577 |
| Fax Number | 8435779574 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | 10714845 |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DE2440 | SC | -- |
Post Comment/ Review Below
What is the Active Mobility, Llc's unique identification number?
The Active Mobility, Llc has been assigned the NPI (National Provider Identifier) Number 1811968720 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Active Mobility, Llc?
The Active Mobility, Llc is situated at 3465 W Montague Ave Ste 101, in the city of N Charleston, state of SC, with the zip code 294185938.
What is Active Mobility, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Active Mobility, Llc is Prosthetic/orthotic Supplier, and the taxonomy code that categorizes this field of expertise is 335E00000X.
When did the Active Mobility, Llc receive its 1811968720?
The Active Mobility, Llc was issued its 1811968720 on 2006-01-30, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Active Mobility, Llc most recently updated or revised?
The details related to Active Mobility, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2012-08-09.
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