Organization Active NPI

Maverick Mobility LLC

  • Customized Equipment (DME)
  • Knoxville, TN
National Provider Identifier
1063322253
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MAVERICK MOBILITY LLC
Practice address
811 Kermit Dr
Knoxville, TN 37912-3861
Phone
(865) 719-3966
NPI assigned
Sep 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Peter Capell, ATP
Title
Owner
Phone
(865) 719-3966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

811 Kermit Dr
Knoxville, TN 37912-3861

Mailing address

100 Pacific Rd
Oak Ridge, TN 37830-5102
Phone (865) 719-3966

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1063322253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PACIFIC RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305102",
            "telephone_number": "865-719-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 KERMIT DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379123861",
            "telephone_number": "865-719-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVERICK MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "CAPELL",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-719-3966",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.