Active NPI
Mobility Concepts, Inc
- Durable Medical Equipment & Medical Supplies
- Fife, WA
National Provider Identifier
1215077912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MOBILITY CONCEPTS, INC
- Practice address
- 1017 54TH Ave E
Suite a
Fife, WA 98424-2730 - Phone
- (253) 896-0970
- Fax
- (253) 896-0971
- NPI assigned
- Feb 8, 2007
- 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
- Mrs. Melissa Cleary
- Title
- President,Cfo
- Phone
- (253) 896-0970
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | WA | Primary |
Addresses
Primary practice location
1017 54TH Ave E
Suite a
Fife, WA 98424-2730
Mailing address
1017 54TH Ave E
Suite a
Fife, WA 98424-2730
Phone (253) 896-0970
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9042136 | Medicaid | WA | |
| 0561731 | Medicaid | MT | |
| 733159 | Other | WA | COPES PROVIDER NUMBER |
| 115206 | Other | WA | L & I PROVIDER NUMBER |
| MS911WA | Medicaid | AK |
National Provider Directory
National Provider DirectoryLocations
1017 54th Ave E
#A
Fife, WA 98424
Phone (253) 896-0970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215077912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 54TH AVE E",
"address_2": "SUITE A",
"city": "FIFE",
"state": "WA",
"postal_code": "984242730",
"telephone_number": "253-896-0970",
"fax_number": "253-896-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 54TH AVE E",
"address_2": "SUITE A",
"city": "FIFE",
"state": "WA",
"postal_code": "984242730",
"telephone_number": "253-896-0970",
"fax_number": "253-896-0971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILITY CONCEPTS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CLEARY",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "PRESIDENT,CFO",
"authorized_official_telephone_number": "253-896-0970",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9042136",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0561731",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COPES PROVIDER NUMBER",
"identifier": "733159",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I PROVIDER NUMBER",
"identifier": "115206",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MS911WA",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fife, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.