Active NPI
Mobility Care
- Rehabilitation Chiropractor
- Grapevine, TX
National Provider Identifier
1689409443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Ogbeide
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240923004144 | TX | Part B Supplier - Clinic/Group Practice | 8820539422 |
Receives reassigned benefits from 1 practitioner Practice locations: Hurst, TX |
National Provider Directory
National Provider DirectoryLocations
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.