ACTIVE MOBILITY, LLC (NPI# 1962912931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962912931 |
| Entity Type | Organization |
| Organization Name | ACTIVE MOBILITY, LLC |
| Practice Address |
14 Thomas Point Rd Brunswick ME 04011-3911 |
| Mailing Address |
639 Blackstrap Rd Falmouth ME 04105-2488 |
| Practice Telephone | 2076074297 |
| Mailing Telephone | 2077493789 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-11-15 |
| Authorized Official Name | MR. STEPHEN TODD HAMILTON (ORTHOTIST/PROSTHETIST) |
| Authorized Official Telephone | 2077493789 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811968720 | Active Mobility, LLC | Prosthetic/Orthotic Supplier | 18 Leinbach Dr, Unit E, Charleston, SC 29407-7916 | 2006-01-30 |
| Street Address |
14 THOMAS POINT RD |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952485765 | Coastal Orthopedics & Sports Medicine,p.a. | Physical Therapist | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2006-10-25 |
| 1134734114 | Sebastian D Van Dyck | Physical Therapist | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2020-09-15 |
| 1538786637 | Joshua Segal | Physical Therapist | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2020-07-06 |
| 1528684842 | Alisa Siulinski | Nurse Practitioner | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2020-06-23 |
| 1710522420 | Amanda M Balch | Physical Therapy Assistant | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2019-11-18 |
| 1740839547 | Christopher Sanborn | Specialist/Technologist | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2019-09-05 |
| 1104304633 | Caterina Murphy | Massage Therapist | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2018-08-06 |
| 1306370002 | Jami Morton | Orthotist | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2017-04-19 |
| 1821546599 | Kathleen E Mccarthy | Physical Therapist | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2016-09-12 |
| 1992166151 | Coastal Orthopedics & Sports Medicine | Specialist | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2016-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| 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 |
|---|---|---|---|---|
| 1518964220 | David Shannon Thompson | Orthotist | 3501 Altama Ave, Brunswick, GA 31520-3629 | 2005-07-07 |
| 1306370002 | Jami Morton | Orthotist | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2017-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093878522 | John- Paul Donovan | Orthotist | 1274 Congress St, Portland, ME 04102-2111 | 2006-12-18 |
| 1255343620 | Kerry Ann Rollins Volk | Orthotist | 170 Us Route 1, Suite 180, Falmouth, ME 04105-2154 | 2006-08-13 |
| 1306875208 | Maine Artificial Limb & Orthotics | Orthotist | 959 Brighton Ave, Portland, ME 04102-1020 | 2006-07-02 |
| 1508396938 | David Paul Stucki | Orthotist | 10 Evergreen Dr, Oakland, ME 04963-5364 | 2017-06-18 |
| 1801244801 | Foundations Pediatrics, Pllc | Orthotist | 170 Us Route 1, Suite 180, Falmouth, ME 04105-2154 | 2016-05-31 |
| 1932284825 | Mark Taggart | Orthotist | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2006-10-26 |
| 1417967415 | Brenda Mattson | Orthotist | 170 Us Route One, Suite 180, Falmouth, ME 04105 | 2006-08-09 |
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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.