Organization Active NPI

Mobile Motion LLC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1497587588
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOBILE MOTION LLC
Practice address
16018 N 3Rd Dr
Phoenix, AZ 85023-7424
Phone
(714) 253-8383
NPI assigned
Aug 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Carissa Abe, DCNPI 1376987875
Title
Ceo
Phone
(714) 253-8383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

16018 N 3Rd Dr
Phoenix, AZ 85023-7424

Mailing address

PO Box 9363
Phoenix, AZ 85068-9363

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241231002338 AZ Part B Supplier - Clinic/Group Practice 3173050234 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

4602 N 16th St
Ste 202
Phoenix, AZ 85016
Phone (602) 714-3690

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1497587588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9363",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850689363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16018 N 3RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850237424",
            "telephone_number": "714-253-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MOTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "ABE",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-253-8383",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.