Organization
MOTILITY MLK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG JOHNSON CPO (CERTIFIED PROSTHETIST ORTHOTIST)
(479) 305-9374
Entity
Organization
Contact information
Practice address
120 HILL ST, HOT SPRINGS, AR 71901-6238
(501) 620-4800
(848) 272-8975
Mailing address
PO BOX 1966, HOT SPRINGS, AR 71902-1966
(501) 620-4800
(848) 272-8975
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
CP2198
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710363486
—
MO
05
—
201241430A
—
KS
05
—
213521716
—
AR
05
—
Q036977
—
TN
Enumeration date
08/05/2015
Last updated
06/01/2026
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