Healthcare Provider Details

I. General information

NPI: 1073434569
Provider Name (Legal Business Name): MAX MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 MOHAWK TRAIL UNIT 18
GREENFIELD MA
01301
US

IV. Provider business mailing address

21 MOHAWK TRL UNIT 18
GREENFIELD MA
01301-3252
US

V. Phone/Fax

Practice location:
  • Phone: 978-629-7679
  • Fax: 877-817-3851
Mailing address:
  • Phone: 978-629-7679
  • Fax: 877-817-3851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. OLIVER MAX NIGROSH
Title or Position: FOUNDER
Credential: CPO
Phone: 413-695-1606