Organization Active NPI

Momentum Mobility Inc

  • Customized Equipment (DME)
  • Phoenix, AZ
National Provider Identifier
1780575498
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MOMENTUM MOBILITY INC
Practice address
1 W Deer Valley Rd Ste 122
Phoenix, AZ 85027-2113
Phone
(602) 885-0023
NPI assigned
Jul 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Mr. Clint Walker
Title
Ceo
Phone
(888) 995-0806

Specialties & licenses 1

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

Addresses

Primary practice location

1 W Deer Valley Rd Ste 122
Phoenix, AZ 85027-2113

Mailing address

1 W Deer Valley Rd Ste 122
Phoenix, AZ 85027-2113
Phone (888) 995-0806

Other names 1

  • Momentum Mobility Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251122001051 AZ DME Supplier - Medical Supply Company 1557853009 Practice locations: Phoenix, AZ

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
Momentum Mobility Inc1 W Deer Valley Rd, Phoenix, AZ 85027-2113(480) 508-1187 Commodes, Urinals, Bedpans|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs … Accepts assignmentParticipating since Sep 29, 2025

National Provider Directory

National Provider Directory

Locations

1 W Deer Valley Rd
Phoenix, AZ 85027

1 W Deer Valley Rd
Ste 122
Phoenix, AZ 85027
Phone (480) 508-1187

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1780575498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W DEER VALLEY RD STE 122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272113",
            "telephone_number": "888-995-0806",
            "fax_number": "888-224-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W DEER VALLEY RD STE 122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272113",
            "telephone_number": "602-885-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM MOBILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-995-0806",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momentum Mobility Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Momentum Mobility Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.