Organization Active NPI

Dr Mobility, LLC

  • Durable Medical Equipment & Medical Supplies
  • Davenport, WA
National Provider Identifier
1992142988
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Sep 9, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.