Organization Active NPI

Rider Mobility Inc.

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
National Provider Identifier
1104690791
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RIDER MOBILITY INC.
Practice address
1624 Schaeffer Rd Ste 110
Knoxville, TN 37932-1521
Phone
(702) 272-0230
Fax
(702) 272-0289
NPI assigned
Nov 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Kirsten Allison Wender, ATP
Title
President
Phone
(702) 445-2675

Specialties & licenses 2

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

Addresses

Primary practice location

1624 Schaeffer Rd Ste 110
Knoxville, TN 37932-1521

Mailing address

3985 W Cheyenne Ave Ste 306
North Las Vegas, NV 89032-8907
Phone (702) 445-2675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250101000034 TN DME Supplier - Medical Supply Company 9931433240 Practice locations: Knoxville, TN

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rider Mobility Inc1624 Schaeffer Rd, Knoxville, TN 37932-1521(865) 635-9980 Power Operated Vehicles (Scooters)|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Wheelchairs (Complex Rehabilitative Manual)|Wheelchairs (Complex Rehab Manual Rel Accessories)|Wheelchairs… Accepts assignmentParticipating since Apr 15, 2019

National Provider Directory

National Provider Directory
Tax ID family
Rider Mobility Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9800 N 91st Ave
Ste 116
Peoria, AZ 85345
Phone (623) 500-5668

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1104690791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 W CHEYENNE AVE STE 306",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328907",
            "telephone_number": "702-445-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 SCHAEFFER RD STE 110",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321521",
            "telephone_number": "702-272-0230",
            "fax_number": "702-272-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDER MOBILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "WENDER",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-445-2675",
        "authorized_official_credential": "ATP"
    },
    "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 Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.