Healthcare Provider Details

I. General information

NPI: 1093314379
Provider Name (Legal Business Name): ADAPTIVE MOBILITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2020
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6385 CORPORATE DR STE 201
COLORADO SPRINGS CO
80919-5912
US

IV. Provider business mailing address

6385 CORPORATE DR STE 201
COLORADO SPRINGS CO
80919-5912
US

V. Phone/Fax

Practice location:
  • Phone: 719-204-5008
  • Fax: 719-982-7494
Mailing address:
  • Phone: 719-204-5008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: ADAPTIVE MOBILITY
Title or Position: GENERAL MANAGER
Credential:
Phone: 719-204-5008