Active NPI
MTS Direct Inc
- Customized Equipment (DME)
- Crete, IL
National Provider Identifier
1972926012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- MTS DIRECT INC
- Practice address
- 1221 Commerce Dr
Crete, IL 60417-3803 - Phone
- (800) 687-6840
- NPI assigned
- Jan 24, 2014
- Last updated
- Mar 28, 2025
- 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
- Victoria Gatlin
- Title
- Owner
- Phone
- (708) 252-1958
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Customized Equipment (DME) | 332BC3200X | NU | Primary |
Addresses
Primary practice location
1221 Commerce Dr
Crete, IL 60417-3803
Mailing address
1221 Commerce Dr Ste 100
Crete, IL 60417-3804
Phone (800) 687-6840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210621000978 | IL | DME Supplier - Pharmacy | 3476953993 | Practice locations: Crete, IL |
National Provider Directory
National Provider DirectoryLocations
7948 S Western Ave
Chicago, IL 60620
Phone (888) 506-6986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743120000000",
"number": "1972926012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 COMMERCE DR STE 100",
"city": "CRETE",
"state": "IL",
"postal_code": "604173804",
"telephone_number": "800-687-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 COMMERCE DR",
"city": "CRETE",
"state": "IL",
"postal_code": "604173803",
"telephone_number": "800-687-6840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MTS DIRECT INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-24",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A",
"authorized_official_last_name": "GATLIN",
"authorized_official_first_name": "VICTORIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-252-1958"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"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 Crete, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.