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MOBILITY PROSTHETIC AND ORTHOTIC SERVICES LLC
NPI 1871255901
Durable Medical Equipment & Medical Supplies in Las Vegas, NV

Active since October 06, 2021
400 SHADOW LN STE 110, LAS VEGAS, NV 89106(702) 800-6520(702) 800-6492 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mobility Prosthetic And Orthotic Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOBILITY PROSTHETIC AND ORTHOTIC SERVICES LLC (NPI 1871255901) is a healthcare organization registered as a durable medical equipment & medical supplies in Las Vegas, Nevada and active in the NPI registry since October 2021. The organization lists Ilea Alexis Mattison, Administrator, as its authorized official.

NPPES Registry Identity

NPI1871255901
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMOBILITY PROSTHETIC AND ORTHOTIC SERVICES LLC
Location Address400 SHADOW LN STE 110Las Vegas, NV 89106-4355
Mailing Address400 Shadow Ln Ste 110Las Vegas, NV 89106-4355 · (702) 800-6520
Phone(702) 800-6520
Fax(702) 800-6492
Organization SubpartNo
Authorized OfficialIlea Alexis MattisonAdministrator · (928) 377-4180
Enumeration DateOctober 6, 2021
Last NPPES UpdateOctober 8, 2021
NPPES CertifiedOctober 8, 2021
✔ NPI 1871255901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
400 SHADOW LN STE 110, Las Vegas, NV 89106
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Other Identifiers 1

Medicaid250013197NV

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Mobility Prosthetic And Orthotic SE carries, from the Medicare DMEPOS supplier directory.

Mobility Prosthetic And Orthotic SE

DMEPOS supplier · Las Vegas, NVOperated by Mobility Prosthetic And Orthotic Services LLC
✔

Accepts Medicare assignment

Mobility Prosthetic And Orthotic SE agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20413577
Medicare Participant SinceJune 15, 2020
Supplier Location400 Shadow Ln Ste 110Las Vegas, NV 89106
Phone(702) 800-6520
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Breast Prostheses and/or Accessories
Prosthetic bra, Surgical bra
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUJATA MOHANTY BOCO
Orthotist
400 SHADOW LN STE 110
LAS VEGAS, NV 89106
Clark County (702) 800-6520
CHANDRA S MOHANTY CP,BOCO,FAAOP
Prosthetist
400 SHADOW LN STE 110
LAS VEGAS, NV 89106
Clark County (702) 800-6520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mobility Prosthetic And Orthotic Services LLC's NPI number?

The NPI number for Mobility Prosthetic And Orthotic Services LLC is 1871255901. It was assigned to this organization in the NPPES registry on October 6, 2021.

Where is Mobility Prosthetic And Orthotic Services LLC located?

Mobility Prosthetic And Orthotic Services LLC is located at 400 Shadow Ln Ste 110, Las Vegas, NV 89106. The listed phone number is (702) 800-6520.

What is Mobility Prosthetic And Orthotic Services LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Mobility Prosthetic And Orthotic Services LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Mobility Prosthetic And Orthotic SE accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Mobility Prosthetic And Orthotic Services LLC was last updated on October 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.