Active NPI
Anthony Sayre Jr., CAPS
- Durable Medical Equipment & Medical Supplies
- Sweet Valley, PA
National Provider Identifier
1457095788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 6000010215
- Practice address
- 18 Mooretown Rd
Sweet Valley, PA 18656-2243 - Phone
- (570) 762-2774
- Fax
- (570) 477-1470
- NPI assigned
- Apr 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 6000010215 | PA | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 6000010215 | PA | Primary |
Addresses
Primary practice location
18 Mooretown Rd
Sweet Valley, PA 18656-2243
Mailing address
18 Mooretown Rd
Sweet Valley, PA 18656-2243
Phone (570) 762-2774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030393700001 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | proteam@homeandmobilitysolutions.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6000010215 | PA | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1457095788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 MOORETOWN RD",
"city": "SWEET VALLEY",
"state": "PA",
"postal_code": "186562243",
"telephone_number": "570-762-2774",
"fax_number": "570-477-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 MOORETOWN RD",
"city": "SWEET VALLEY",
"state": "PA",
"postal_code": "186562243",
"telephone_number": "570-762-2774",
"fax_number": "570-477-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYRE",
"first_name": "ANTHONY",
"name_suffix": "Jr.",
"credential": "CAPS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-22",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "PA",
"license": "6000010215",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "6000010215",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030393700001",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "proteam@homeandmobilitysolutions.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "18 Mooretown Rd",
"city": "Sweet Valley",
"state": "PA",
"country_code": "US",
"postal_code": "186562243",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sweet Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.