MOTILITY MLK, LLC (NPI# 1710363486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710363486 |
| Entity Type | Organization |
| Organization Name | MOTILITY MLK, LLC |
| Practice Address |
120 Hill St Hot Springs AR 71901-6238 |
| Mailing Address |
Po Box 1966 Hot Springs AR 71902-1966 |
| Practice Telephone | 5016204800 |
| Practice Fax Number | 8482728975 |
| Mailing Telephone | 5016204800 |
| Mailing Fax Number | 8482728975 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MICHAEL L KENNEY (PROSTHETIST) |
| Authorized Official Telephone | 4173436162 |
| Authorized Official Credential | CERTIFIED PROTHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CP2198 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1710363486 | 05 | |
| AR | 213521716 | 05 | |
| AK | 1675787 | 05 | |
| CERTIFICATION NUMBER CP2198 | CP2198 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 116 Arkansas St, Hot Springs, AR 719016358 | 5016204800 | |
| 1843 E Cherry St, Springfield, MO 658022950 | 5016204800 | 8482728975 |
| Street Address |
120 HILL ST |
| City | HOT SPRINGS |
| State | AR |
| Zip Code | 71901-6238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235668575 | Michael Lee Kenney | Prosthetist | 120 Hill St, Hot Springs, AR 71901-6238 | 2017-06-09 |
| 1912134628 | Rita Marie Kenney | Counselor | 120 Hill St, Hot Springs, AR 71901-6238 | 2009-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346878303 | Hot Springs Ambulatory Surgery Center, LLC | Clinic/Center | 148 Sawtooth Oak St, Hot Springs, AR 71901 | 2020-03-27 |
| 1114558285 | Patrick Michael Westerman | Physical Therapist | 2122 Malvern Ave, Suite 5, Hot Springs, AR 71901 | 2020-01-28 |
| 1013416601 | Cheryl Kuhn | Counselor | 1820 Central Ave. Ste. B, Hot Springs, AR 71901 | 2018-02-08 |
| 1841711744 | Bonnie Lee | Case Manager/Care Coordinator | 240 Matthews Dr Apt A2, Hot Springs, AR 71901 | 2017-06-29 |
| 1699221457 | Belvedere Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 2600 Park Avenue, Hot Springs, AR 71901 | 2016-08-31 |
| 1639558398 | Jamie L. Summers Stacks, Pa | Counselor | 100 Ridgeway Ave, Suite 1, Hot Springs, AR 71901 | 2015-05-27 |
| 1831435452 | Wpm Community Pharmacies, LLC | Pharmacist | 105 Sawtooth Oak Street, Hot Springs, AR 71901 | 2012-12-31 |
| 1467759159 | Karissia Dawson | Counselor | 100 Ridgeway St Ste 5, Hot Springs, AR 71901 | 2011-02-16 |
| 1407172331 | Summit Dental, Inc | Dentist | 1421 Central Avenue, Hot Springs, AR 71901 | 2010-04-16 |
| 1609190826 | Mindy Gallegos | Nurse Practitioner | 102 Chippewa Ct, Hot Springs, AR 71901 | 2010-03-17 |
| Find all providers in zip 71901 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| 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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619115284 | Fort Smith Artificial Limb and Brace, Inc. | Prosthetic/Orthotic Supplier | 218 Vineyard St, Hot Springs, AR 71913-5229 | 2009-02-04 |
| 1861554370 | Felix Brace & Limb Co., Inc. | Prosthetic/Orthotic Supplier | 310 Higdon Ferry Rd, Hot Springs, AR 71913-5233 | 2006-12-14 |
| 1811059272 | New Images Boutique Co Inc | Prosthetic/Orthotic Supplier | 222 Cornerstone Blvd, Hot Springs, AR 71913-6564 | 2006-12-14 |
| 1154306322 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 3810 Central Ave, Suite B, Hot Springs, AR 71913-6903 | 2005-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028371 | West Orthotics, LLC | Prosthetic/Orthotic Supplier | 2711 S Caraway Rd Ste B, Jonesboro, AR 72401-7334 | 2020-09-22 |
| 1114547528 | Chelsea N. Briggs | Prosthetic/Orthotic Supplier | 4601 S Main St Apt 514, Pine Bluff, AR 71601-7482 | 2020-04-26 |
| 1184244600 | Chelsea Briggs | Prosthetic/Orthotic Supplier | 601 S Main St Apt 514, Pine Bluff, AR 71601 | 2020-04-24 |
| 1457832354 | Celebrity Styles Inc. | Prosthetic/Orthotic Supplier | 7 Shackleford Plz, Little Rock, AR 72211-1826 | 2018-08-28 |
| 1184104309 | Prosthetic One | Prosthetic/Orthotic Supplier | 11908 Kanis Rd Ste G7, Little Rock, AR 72211-3773 | 2018-08-16 |
| 1376036962 | David A. Yates & Associates, Inc. | Prosthetic/Orthotic Supplier | 2103 S 54th St Ste 1, Rogers, AR 72758-8126 | 2018-06-08 |
| 1831629070 | Snell Prosthetic & Orthotic Laboratory | Prosthetic/Orthotic Supplier | 612 Office Park Dr, Bryant, AR 72022-7519 | 2017-06-19 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| 1952774259 | Maranda Watkins | Prosthetic/Orthotic Supplier | 601 S 21st St, Fort Smith, AR 72901-3914 | 2015-11-09 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| Find all providers with the same taxonomy | ||||
| City | HOT SPRINGS |
| Zip Code | 71901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.