Provider Demographics
NPI:1083684039
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 AND LICENSURE 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 ST STE 402
Mailing Address - Street 2:
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 1:915 INTERNATIONAL WAY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-1082
Practice Address - Country:US
Practice Address - Phone:541-686-9706
Practice Address - Fax:541-686-1467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-24
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR019878-90332B00000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR810070000OtherREGENCE BCBS OF OR
ORJ0112-01OtherPACIFICSOURCE HEALTH PLAN
OR228833OtherDOCS-OMAP
OR407099OtherHUMANA CHOICE CARE
OR141330100OtherUS DEPT. OF LABOR
OR228883OtherMARION POLK HEALTH PLAN
OR228883OtherFAMILYCARE OR PREMIERCARE
OR228883Medicaid
OR0178400001OtherPACIFICARE OF OR
OR251910864OtherGREAT WEST LIFE & ANNUITY
OR7282299OtherAETNA NATIONAL NON-HMO
WA9053265Medicaid
OR228811OtherMID ROGUE IPA
OR276581OtherAETNA NATIONAL HMO
OR141330100OtherUS DEPT. OF LABOR