Active NPI
Rider Mobility Inc.
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
National Provider Identifier
1104690791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Durable Medical Equipment & Medical Supplies
- North Las Vegas, NV
- NPI 1174094163
9931433240
-
- Durable Medical Equipment & Medical Supplies
- Peoria, AZ
- NPI 1336764844
9931433240
-
- Durable Medical Equipment & Medical Supplies
- Denver, CO
- NPI 1467210161
9931433240
-
- Durable Medical Equipment & Medical Supplies
- San Diego, CA
- NPI 1578165734
9931433240
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Rider Mobility Inc | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Rider Mobility Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- North Las Vegas, NV
- NPI 1174094163
-
- Durable Medical Equipment & Medical Supplies
- Peoria, AZ
- NPI 1336764844
-
- Durable Medical Equipment & Medical Supplies
- Denver, CO
- NPI 1467210161
-
- Durable Medical Equipment & Medical Supplies
- San Diego, CA
- NPI 1578165734
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.