NPIMap

Organization Active NPI

Mobility Rehab LLC

  • Rehabilitation Clinic/Center
  • Mobile, AL
National Provider Identifier
1295466670
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MOBILITY REHAB LLC
Practice address
650 S University Blvd Apt 340
Mobile, AL 36609-7869
Phone
(601) 573-9974
Fax
(601) 487-8546
NPI assigned
Jun 17, 2022
Last updated
Jun 17, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MOBILITY REHAB LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Michael Joseph Riche
Title
Authorized Official
Phone
(601) 209-7697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

650 S University Blvd Apt 340
Mobile, AL 36609-7869

Mailing address

PO Box 1227
Ridgeland, MS 39158-1227
Phone (601) 573-9974

Other names 1

  • Mobility Rehab- University Oaks Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181107001426 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577821008 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Auburn, AL; Mobile, AL; Montgomery, AL

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mobility Rehab LLC4 organizations share this tax ID, including this one
Part of
Mobility Rehab LLC

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1295466670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1227",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391581227",
            "telephone_number": "601-573-9974",
            "fax_number": "601-487-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S UNIVERSITY BLVD APT 340",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366097869",
            "telephone_number": "601-573-9974",
            "fax_number": "601-487-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY REHAB LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOBILITY REHAB LLC",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "RICHE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "601-209-7697"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility Rehab- University Oaks",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.