Organization Active NPI

Advantage Access and Mobility

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
National Provider Identifier
1043914831
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADVANTAGE ACCESS AND MOBILITY
Practice address
5470 E Loop 820 S Ste 110
Fort Worth, TX 76119-6515
Phone
(817) 536-6877
Fax
(817) 535-5233
NPI assigned
Mar 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jerrie K Reese
Title
Operations Manager
Phone
(817) 536-6877

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

5470 E Loop 820 S Ste 110
Fort Worth, TX 76119-6515

Mailing address

5470 E Loop 820 S Ste 110
Fort Worth, TX 76119-6515
Phone (817) 896-0961

National Provider Directory

National Provider Directory

Locations

5470 E Loop 820 S
Ste 110
Fort Worth, TX 76119
Phone (817) 536-6877

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1043914831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 E LOOP 820 S STE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761196515",
            "telephone_number": "817-896-0961",
            "fax_number": "817-535-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 E LOOP 820 S STE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761196515",
            "telephone_number": "817-536-6877",
            "fax_number": "817-535-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE ACCESS AND MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "JERRIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "817-536-6877"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.