Organization Active NPI

Moss Mobility LLC

  • Contractor
  • Fort Myers, FL
National Provider Identifier
1689524316
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
MOSS MOBILITY LLC
Practice address
12220 Itec Haul Dr Ste 203
Fort Myers, FL 33913-0115
Phone
(239) 413-2506
NPI assigned
Feb 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Connor Moss
Title
Owner / President
Phone
(248) 881-4150

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary
Home Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WH0202X

Addresses

Primary practice location

12220 Itec Haul Dr Ste 203
Fort Myers, FL 33913-0115

Mailing address

12220 Itec Haul Dr Ste 203
Fort Myers, FL 33913-0115
Phone (239) 413-2506

National Provider Directory

National Provider Directory

Locations

12220 Itec Haul Dr
Ste 203
Fort Myers, FL 33913
Phone (239) 413-2506

NPI Registry JSON

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1689524316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 ITEC HAUL DR STE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339130115",
            "telephone_number": "239-413-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 ITEC HAUL DR STE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339130115",
            "telephone_number": "239-413-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "CONNOR",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "248-881-4150"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.