Organization Active NPI

Adaptive Star Mobility Inc.

  • Customized Equipment (DME)
  • Yakima, WA
National Provider Identifier
1831938547
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ADAPTIVE STAR MOBILITY INC.
Practice address
732 N 16TH Ave Ste 26
Yakima, WA 98902-1890
Phone
(800) 278-9626
NPI assigned
May 22, 2024
Last updated
May 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Teri M. Durrin
Title
President
Phone
(800) 278-9626

Specialties & licenses 1

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

Addresses

Primary practice location

732 N 16TH Ave Ste 26
Yakima, WA 98902-1890

Mailing address

PO Box 369
Selah, WA 98942-0369
Phone (800) 278-9626

National Provider Directory

National Provider Directory

Locations

732 N 16th Ave
Ste 26
Yakima, WA 98902
Phone (800) 278-9626

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1831938547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989420369",
            "telephone_number": "800-278-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 N 16TH AVE STE 26",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021890",
            "telephone_number": "800-278-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE STAR MOBILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "DURRIN",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-278-9626"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.