Active Mobility Upstate Llc is a Prosthetic & Orthotic Supplier in Spartanburg, South Carolina. It is situated at 115 Garner Road, Spartanburg and its contact number is 864-541-0028. The authorized person of Active Mobility Upstate Llc is Mr. Clarence R Hooper Jr.
who is President of the store and his/her contact number is 843-577-9577. Primary license number for Active Mobility Upstate Llc is 042523929 in South Carolina. Active Mobility Upstate Llc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Center Profile:
Active Mobility Upstate Llc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Specialization:
Prosthetic & Orthotic Supplier
Address:
115 Garner Road, Spartanburg, South Carolina, 29303
Phone:
864-541-0028
Fax:
864-541-0027
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Clarence R Hooper Jr.
Position:
President
Contact Number:
843-577-9577
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Active Mobility Upstate Llc center are as mentioned below.
NPI Number:
1871780742
NPI Enumeration Date:
25 Sep, 2007
NPI Last Update On:
26 Jun, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Active Mobility Upstate Llc are as mentioned below.
Specialization
License Number
State
Status
Prosthetic/orthotic Supplier
042523929
South Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DE3088
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Active Mobility Upstate Llc 3801 W. Montague Ave, Suite 100 N Charleston, South Carolina
Zip:
29418-5938
Phone Number:
843-577-9577
Fax Number:
843-718-1438
Patients can reach Active Mobility Upstate Llc at 115 Garner Road, Spartanburg, South Carolina or can call to book an appointment on 864-541-0028. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.