Active NPI
Rider Mobility Inc.
- Durable Medical Equipment & Medical Supplies
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- RIDER MOBILITY INC.
- Practice address
- 9800 N 91St Ave Ste 116
Peoria, AZ 85345-8374 - Phone
- (623) 500-5668
- Fax
- (623) 500-5669
- NPI assigned
- Jun 10, 2020
- Organization subpart
- Yes
- Parent organization
- RIDER MOBILITY INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kirsten Wender, ATP
- Title
- President
- Phone
- (702) 272-0230
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
9800 N 91St Ave Ste 116
Peoria, AZ 85345-8374
Mailing address
3985 W Cheyenne Ave Ste 306
North Las Vegas, NV 89032-8907
Phone (702) 272-0230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200720000173 | AZ | DME Supplier - Medical Supply Company | 9931433240 | Practice locations: Peoria, AZ |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1104690791
9931433240
-
- Durable Medical Equipment & Medical Supplies
- North Las Vegas, NV
- NPI 1174094163
9931433240
-
- Durable Medical Equipment & Medical Supplies
- Denver, CO
- NPI 1467210161
9931433240
-
- Durable Medical Equipment & Medical Supplies
- San Diego, CA
- NPI 1578165734
9931433240
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Rider Mobility Inc. | Patient Lifts|Power Operated Vehicles (Scooters)|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Wheelchairs (Complex Rehabilitative Manual)|Wheelchairs (Complex Rehab Manual Rel Accessorie… | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Rider Mobility Inc
- Part of
- Rider Mobility Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1104690791
-
- Durable Medical Equipment & Medical Supplies
- North Las Vegas, NV
- NPI 1174094163
-
- Durable Medical Equipment & Medical Supplies
- Denver, CO
- NPI 1467210161
-
- Durable Medical Equipment & Medical Supplies
- San Diego, CA
- NPI 1578165734
Locations
7320 Smoke Ranch Rd
Ste G
Las Vegas, NV 89128
3985 W Cheyenne Ave
Ste 306
North Las Vegas, NV 89032
Phone (702) 272-0230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709856000000",
"number": "1336764844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3985 W CHEYENNE AVE STE 306",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890328907",
"telephone_number": "702-272-0230",
"fax_number": "702-272-0289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 N 91ST AVE STE 116",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853458374",
"telephone_number": "623-500-5668",
"fax_number": "623-500-5669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDER MOBILITY INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RIDER MOBILITY INC.",
"enumeration_date": "2020-06-10",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A",
"authorized_official_last_name": "WENDER",
"authorized_official_first_name": "KIRSTEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-272-0230",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ATP"
},
"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": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.