Organization Active NPI

Xyz Mobility LLC

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1104459072
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
XYZ MOBILITY LLC
Practice address
4246 E Wood St Ste 460
Phoenix, AZ 85040-1985
Phone
(480) 828-1391
Fax
(800) 238-6910
NPI assigned
Feb 19, 2020
Organization subpart
Yes
Parent organization
XYZ MOBILITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Mr. Justin Adam Decker
Title
Director of Operations
Phone
(480) 417-1860

Specialties & licenses 2

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

Addresses

Primary practice location

4246 E Wood St Ste 460
Phoenix, AZ 85040-1985

Mailing address

4246 E Wood St Ste 460
Phoenix, AZ 85040-1985
Phone (480) 828-1391

Other practice location 1

4014 East Broadway Rd, Suite 405
Phoenix, AZ 85040
Phone (480) 828-1391

National Provider Directory

National Provider Directory
Part of
Xyz Mobility LLC

Locations

2817 S 46th St
Phoenix, AZ 85040

4246 E Wood St
Ste 460
Phoenix, AZ 85040
Phone (480) 417-1860

4014 E Broadway Rd
Ste 405
Phoenix, AZ 85040
Phone (480) 417-1860

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1104459072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4246 E WOOD ST STE 460",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850401985",
            "telephone_number": "480-828-1391",
            "fax_number": "800-238-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4246 E WOOD ST STE 460",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850401985",
            "telephone_number": "480-828-1391",
            "fax_number": "800-238-6910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4014 East Broadway Rd, Suite 405",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85040",
            "country_code": "US",
            "telephone_number": "480-828-1391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "XYZ MOBILITY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "XYZ MOBILITY",
        "enumeration_date": "2020-02-19",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "480-417-1860",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.