Crest Custom Mobility LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CREST CUSTOM MOBILITY LLC

Practice address

505 Mountain Dr Ste I
Destin, FL 32541-7334

Phone

(321) 360-6016

NPI assigned

Jan 7, 2025

Organization subpart

No

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

Authorized official

Name

Lindsay Sego

Title

Ceo

Phone

(321) 360-6016

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Crest Custom Mobility LLC

  • Durable Medical Equipment & Medical Supplies
  • Northport, AL
  • NPI 1649149477

  2668973579

  Same PAC ID

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

Tax ID family

Crest Custom Mobility LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Crest Custom Mobility LLC

  • Durable Medical Equipment & Medical Supplies
  • Northport, AL
  • NPI 1649149477
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Milton Watkins

  • Occupational Therapist
  • Tuscaloosa, AL
  • NPI 1346855962
  NPD

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1225847833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 LEILANI LN",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329538500",
            "telephone_number": "321-360-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 MOUNTAIN DR STE I",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325417334",
            "telephone_number": "321-360-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST CUSTOM MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "SEGO",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-360-6016"
    },
    "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": []
}

• Compass Physical Therapy
• Christine Clare Condit
• Richard E Corley, D.D.S
• Shayann Crabtree
• Emerson Kathleen Crawford, AUD-CCC.A
• Karen Anne Criswell, SLP
• Casey Cummings, PHARMD, BCPPS
• Ashley T Cusson, ARNP FNP-C
• Orijane Alma Dalton, PHARMD
• Carolyn Davis, M.D.

• Durable Medical Equipment & Medical Supplies in Destin, FL
• Providers in Destin, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.