Provider Demographics
NPI:1003162777
Name:UNITED SEATING AND MOBILITY LLC
Entity Type:Organization
Organization Name:UNITED SEATING AND MOBILITY LLC
Other - Org Name:NUMOTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-447-7515
Mailing Address - Street 1:805 BROOK STREET
Mailing Address - Street 2:SUITE 402
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-3431
Mailing Address - Country:US
Mailing Address - Phone:314-447-7500
Mailing Address - Fax:314-447-7830
Practice Address - Street 1:1687 N SHELBY OAKS DR
Practice Address - Street 2:SUITES 8 & 9
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-7421
Practice Address - Country:US
Practice Address - Phone:901-379-0096
Practice Address - Fax:901-379-0018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-31
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1530509Medicaid
AR212296716Medicaid
MS06782767Medicaid