Provider Demographics
NPI:1215122148
Name:MOBILITY WORKS LLC
Entity type:Organization
Organization Name:MOBILITY WORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:A
Authorized Official - Last Name:CEPLENSKI
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:860-767-7587
Mailing Address - Street 1:180 WESTBROOK RD
Mailing Address - Street 2:BLDG#3
Mailing Address - City:ESSEX
Mailing Address - State:CT
Mailing Address - Zip Code:06426-1517
Mailing Address - Country:US
Mailing Address - Phone:860-767-7587
Mailing Address - Fax:860-767-3418
Practice Address - Street 1:180 WESTBROOK RD
Practice Address - Street 2:BLDG#3
Practice Address - City:ESSEX
Practice Address - State:CT
Practice Address - Zip Code:06426-1517
Practice Address - Country:US
Practice Address - Phone:860-767-7582
Practice Address - Fax:860-767-3418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005099225100000X
CT000213225X00000X
CT002091225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT670000072Medicare PIN
CT670000073Medicare PIN
CT650001325Medicare PIN