Prime Mobility Medical Equipment & Repair Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRIME MOBILITY MEDICAL EQUIPMENT & REPAIR INC

Practice address

420 N Walnut Ave
Broken Arrow, OK 74012-2353

Phone

(918) 884-5255

NPI assigned

Oct 6, 2025

Organization subpart

No

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

Authorized official

Name

Juaqula M Gater

Title

Ceo

Phone

(918) 884-5255

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1346115805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N WALNUT AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122353",
            "telephone_number": "918-884-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N WALNUT AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122353",
            "telephone_number": "918-884-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MOBILITY MEDICAL EQUIPMENT & REPAIR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "GATER",
        "authorized_official_first_name": "JUAQULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-884-5255"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia P. Price, MSN/RN
• Landon D Price, M.D.
• Samuel Winston Price
• Taylon Price, RBT
• Prime Laboratories LLC
• Mykelti Lynn Pritchard
• Eva Lee Pritt
• Proactive Sport and Spine PLC
• Cole Andrew Proctor
• Maggie Capatha Proctor

• Durable Medical Equipment & Medical Supplies in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.