Provider Demographics
NPI:1659377240
Name:MOTION MOBILITY & DESIGN, INC
Entity Type:Organization
Organization Name:MOTION MOBILITY & DESIGN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-244-9723
Mailing Address - Street 1:6490 PROMLER ST NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-7625
Mailing Address - Country:US
Mailing Address - Phone:330-244-9723
Mailing Address - Fax:330-244-9730
Practice Address - Street 1:6490 PROMLER ST NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-7625
Practice Address - Country:US
Practice Address - Phone:330-244-9723
Practice Address - Fax:330-244-9730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-28
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2154412Medicaid
OH1321010001Medicare NSC