NPIMap

Organization Active NPI

Access2Mobility, Inc

  • Customized Equipment (DME)
  • Tyler, TX
National Provider Identifier
1497707533
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
101 Issued in TX
Legal business name
ACCESS2MOBILITY, INC
Practice address
12406 State Highway 155 S
Tyler, TX 75703-6446
Phone
(903) 592-6760
Fax
(903) 592-8922
NPI assigned
May 17, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. William Judson Demott
Title
President
Phone
(903) 592-6760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 101 TX Primary

Addresses

Primary practice location

12406 State Highway 155 S
Tyler, TX 75703-6446

Mailing address

12406 State Highway 155 S
Tyler, TX 75703-6446
Phone (903) 592-6760

Other identifiers 4

IdentifierTypeStateIssuer
168691702MedicaidTX
1686917-01MedicaidTX
531775OtherTXBLUE CROSS PROVIDER
611395700OtherTXUS DEPT OF LABOR, OWCP

National Provider Directory

National Provider Directory

Locations

12406 State Highway 155 S
Tyler, TX 75703
Phone (903) 592-6760

Practitioners & affiliated clinicians

Practitioners 2

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497707533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12406 STATE HIGHWAY 155 S",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036446",
            "telephone_number": "903-592-6760",
            "fax_number": "903-592-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12406 STATE HIGHWAY 155 S",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036446",
            "telephone_number": "903-592-6760",
            "fax_number": "903-592-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS2MOBILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEMOTT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JUDSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-592-6760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168691702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1686917-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "531775",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR, OWCP",
            "identifier": "611395700",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.