Albert James Mobley, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26856 Issued in FL

Practice address

587 SE Ermine Ave
Lake City, FL 32025-6126

Phone

(386) 438-2776

NPI assigned

May 26, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Aj. Mobley Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1114455797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11343 122ND TER",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320606956",
            "telephone_number": "386-688-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 SE ERMINE AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256126",
            "telephone_number": "386-438-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "ALBERT",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AJ.",
            "last_name": "MOBLEY",
            "prefix": "MR.",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maria Alana Mitchell, LPN
• Michayla Marie Mitchell
• Tracie Ledora Mitchem-Green, F.N.P
• Barbara Mizell-Perry
• Regina Rene Mobley-Gibson
• Brandy J Mobley, M.ED
• Denise R Mobley, LCSW
• Mavis M Mobley
• Mohammad Ali Faisal Mdpa
• Mohammad Ali Faisal, M.D., P.a.

• Physical Therapist in Lake City, FL
• Providers in Lake City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; 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.