Organization Active NPI

Mobility Care

  • Rehabilitation Chiropractor
  • Grapevine, TX
National Provider Identifier
1689409443
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
MOBILITY CARE
Practice address
1025 S Main St
Grapevine, TX 76051-7528
Phone
(706) 457-6579
NPI assigned
Sep 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Michelle OgbeideNPI 1881173466
Title
D.C
Phone
(706) 457-6579

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

1025 S Main St
Grapevine, TX 76051-7528

Mailing address

3927 Block Dr Apt 2119
Irving, TX 75038-4648
Phone (706) 457-6579

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240923004144 TX Part B Supplier - Clinic/Group Practice 8820539422 Receives reassigned benefits from 1 practitioner
Practice locations: Hurst, TX

National Provider Directory

National Provider Directory

Locations

1025 S Main St
Grapevine, TX 76051
Phone (706) 457-6579

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": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1689409443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 BLOCK DR APT 2119",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750384648",
            "telephone_number": "706-457-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S MAIN ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517528",
            "telephone_number": "706-457-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "OGBEIDE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "D.C",
        "authorized_official_telephone_number": "706-457-6579"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.