Organization Active NPI

Wav Mobility Consultants, LLC

  • Case Management Agency
  • Gilbert, AZ
National Provider Identifier
1255840757
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
WAV MOBILITY CONSULTANTS, LLC
Practice address
875 W Spur Ave
Gilbert, AZ 85233-6235
Phone
(602) 206-5334
Fax
(888) 346-2025
NPI assigned
Sep 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Daniel Radacosky
Title
President
Phone
(602) 206-5334

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

875 W Spur Ave
Gilbert, AZ 85233-6235

Mailing address

875 W Spur Ave
Gilbert, AZ 85233-6235
Phone (602) 206-5334

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255840757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 W SPUR AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336235",
            "telephone_number": "602-206-5334",
            "fax_number": "888-346-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 W SPUR AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336235",
            "telephone_number": "602-206-5334",
            "fax_number": "888-346-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAV MOBILITY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RADACOSKY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-206-5334"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "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 Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.