Antrevia C Purvis

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

1958 Sword Fish Dr
Mansfield, TX 76063-8527

Phone

(817) 405-9570

NPI assigned

Sep 17, 2026

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1104738095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E DEBBIE LN STE 102",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633376",
            "telephone_number": "817-405-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 SWORD FISH DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638527",
            "telephone_number": "817-405-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVIS",
        "first_name": "ANTREVIA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Pullos, M.A. CCC-SLP/L
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• Larry E Purser
• Brooke Pusic
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• Q.B. P.L.L.C. (Mansfield Dental Center)
• Reham Qasim, RPH
• Quality Assist, LLC

• Prosthetic/Orthotic Supplier in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.