Active NPI
Dr Mobility, LLC
- Durable Medical Equipment & Medical Supplies
- Davenport, WA
National Provider Identifier
1992142988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DR MOBILITY, LLC
- Practice address
- 505 1St St Ste B
Davenport, WA 99122-5138 - Phone
- (509) 725-0013
- Fax
- (208) 298-1962
- NPI assigned
- May 30, 2013
- 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
- Sandy Hollingsworth
- Title
- Compliance Officer
- Phone
- (509) 725-0013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
505 1St St Ste B
Davenport, WA 99122-5138
Mailing address
PO Box 809
Davenport, WA 99122-0809
National Provider Directory
National Provider DirectoryLocations
31279 Knack Rd E
Davenport, WA 99122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631145600000",
"number": "1992142988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 809",
"city": "DAVENPORT",
"state": "WA",
"postal_code": "991220809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 1ST ST STE B",
"city": "DAVENPORT",
"state": "WA",
"postal_code": "991225138",
"telephone_number": "509-725-0013",
"fax_number": "208-298-1962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR MOBILITY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-30",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A",
"authorized_official_last_name": "HOLLINGSWORTH",
"authorized_official_first_name": "SANDY",
"authorized_official_title_or_position": "COMPLIANCE OFFICER",
"authorized_official_telephone_number": "509-725-0013"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.