Active Mobility, LLC
NPI 1962912931ActiveOrganization· Orthotist· Brunswick, ME
Orthotist in Brunswick, Maine, registered in NPPES in October 2017. The authorized official on file is Stephen Todd Hamilton, CPO, Orthotist/Prosthetist. Enrolled in Medicare as dme supplier - orthotic personnel.
Overview
| NPI | 1962912931 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2017 |
| Last updated in NPPES | Nov 15, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthotist Primary | 222Z00000X | — | — |
| Prosthetist | 224P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Orthotic Personnel (ME) |
|---|
Other Orthotist providers in Brunswick
- 1306370002