Organization Active NPI

Crest Custom Mobility LLC

  • Durable Medical Equipment & Medical Supplies
  • Northport, AL
National Provider Identifier
1649149477
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CREST CUSTOM MOBILITY LLC
Practice address
1025 Martin Luther King Jr Blvd Unit 7
Northport, AL 35476-4035
Phone
(205) 383-9041
NPI assigned
Oct 31, 2025
Organization subpart
Yes
Parent organization
CREST CUSTOM MOBILITY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
Lindsay Sego
Title
Ceo
Phone
(321) 360-6016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1025 Martin Luther King Jr Blvd Unit 7
Northport, AL 35476-4035

Mailing address

4533 Leilani LN
Merritt Island, FL 32953-8500
Phone (321) 360-6016

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260521003763 AL DME Supplier - Medical Supply Company 2668973579 Practice locations: Northport, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Crest Custom Mobility LLC1025 Martin Luther King Jr Blvd, Northport, AL 35476-4035(866) 985-2830 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 Accessories)|Wheelchairs… Does not accept assignmentParticipating since Sep 2, 2025

National Provider Directory

National Provider Directory
Tax ID family
Crest Custom Mobility LLC2 organizations share this tax ID, including this one
Part of
Crest Custom Mobility LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1025 Martin Luther King Jr Blvd
Unit 7
Northport, AL 35476
Phone (205) 339-4900

Practitioners & affiliated clinicians

Practitioners 1

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": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1649149477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 LEILANI LN",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329538500",
            "telephone_number": "321-360-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MARTIN LUTHER KING JR BLVD UNIT 7",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354764035",
            "telephone_number": "205-383-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST CUSTOM MOBILITY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREST CUSTOM MOBILITY LLC",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "SEGO",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-360-6016"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.

Verify at the official NPI Registry.