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1104093186 NPI number — JONES ADAPTIVE MOBILITY LLC

NPI Number: 1104093186
Health Care Provider/Practitioner: JONES ADAPTIVE MOBILITY LLC

Information about “1104093186” NPI (JONES ADAPTIVE MOBILITY LLC) exists in 1104093186 in HTML format HTML  |  1104093186 in plain Text format TXT  |  1104093186 in PDF (Portable Document Format) PDF  |  1104093186 in an XML format XML  formats.

NPI Number : 1104093186 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104093186",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JONES ADAPTIVE MOBILITY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3441 HIGHWAY 126",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BLOUNTVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37617-4525",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-844-0939",
    "MailingAddressFaxNumber": "615-514-9654",
    "FirstLinePracticeLocationAddress": "3441 HIGHWAY 126",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLOUNTVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37617-4525",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-844-0939",
    "PracticeLocationAddressFaxNumber": "423-484-0368",
    "EnumerationDate": "05/09/2008",
    "LastUpdateDate": "12/16/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JONES",
    "AuthorizedOfficialFirstName": "BRETT",
    "AuthorizedOfficialMiddleName": "ALEXANDER",
    "AuthorizedOfficialTitle": "OWNER/CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PT",
    "AuthorizedOfficialTelephoneNumber": "423-844-0939",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BC3200X",
          "TaxonomyName": "Customized Equipment (DME)",
          "LicenseNumber": "65771",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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