MEDICARE: ONE STOP MOBILITY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	20098850	AZ

General Provider Information

NPI Number	:	1902962590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE STOP MOBILITY, INC.

Provider Business Mailing Address
First Line	:	2802 E GREENWAY RD STE 2
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4437
Country	:	US
Telephone Number	:	602-493-0509
Fax Number	:	602-493-0707

Provider Business Practice Location Address
First Line	:	2802 E GREENWAY RD STE 2
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4437
Country	:	US
Telephone Number	:	602-493-0509
Fax Number	:	602-493-0707

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RYAN C. MARSHALL
Credential	:
Telephone Number	:	602-493-0509

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	08/22/2020

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