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MOBILITY REHAB LLC - EASTDALE ESTATES
NPI 1407376452
Clinic/Center - Rehabilitation in Ridgeland, MS

Active since June 21, 2017
745 S PEAR ORCHARD ROAD, APT 335, RIDGELAND, MS 39157(601) 573-9974(601) 487-8546 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2020, Jun 21, 2017 (2 updates tracked since 2017).

About Mobility Rehab Llc - Eastdale Estates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOBILITY REHAB LLC - EASTDALE ESTATES (NPI 1407376452) is a healthcare organization registered as a rehabilitation in Ridgeland, Mississippi and active in the NPI registry since June 2017. The organization maintains a secondary practice location in Montgomery and lists Sarah Beckstead, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1407376452
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameMOBILITY REHAB LLC
Location Address745 S PEAR ORCHARD ROAD, APT 335Ridgeland, MS 39157
Mailing AddressPo Box 1227Ridgeland, MS 39158-1227 · (601) 209-7697 · Fax (601) 487-6169
Phone(601) 573-9974
Fax(601) 487-8546
Organization SubpartNo
Authorized OfficialSarah BecksteadOffice Manager · (601) 209-7697
Enumeration DateJune 21, 2017
Last NPPES UpdateJuly 13, 20202 updates tracked since enumeration
NPPES CertifiedJuly 13, 2020
✔ NPI 1407376452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
745 S PEAR ORCHARD ROAD, Ridgeland, MS 39157
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Other Names 1

Other NameMobility Rehab Llc - Eastdale Estates

Secondary Practice Location 1

Location 15801 Eastdale Dr Apt 122Montgomery, AL 36117-2160 · Phone (601) 209-7697 · Fax (601) 487-6169

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mobility Rehab Llc - Eastdale Estates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mobility Rehab LLC - Eastdale Estates, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jessica Honan, OTR-L
Occupational Therapist in Private Practice
NPI 1356499867
711 AVIGNON DR
Ridgeland, MS 39157
(601) 605-6777
✔ Accepts Medicare0.6 mi
Mary Hollingsworth, PT
Physical Therapist in Private Practice
NPI 1063620581
745 S PEAR ORCHARD RD
Ridgeland, MS 39157
(601) 260-4605
✔ Accepts Medicare1.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mobility Rehab LLC's NPI number?

The NPI number for Mobility Rehab LLC is 1407376452. It was assigned to this organization in the NPPES registry on June 21, 2017. The provider is also known as Mobility Rehab LLC - Eastdale Estates.

Where is Mobility Rehab LLC located?

Mobility Rehab LLC is located at 745 S Pear Orchard Road Apt 335, Ridgeland, MS 39157. The listed phone number is (601) 573-9974.

What is Mobility Rehab LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Is Mobility Rehab LLC enrolled in Medicare?

Yes. Mobility Rehab LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mobility Rehab LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mobility Rehab LLC, in Occupational Therapist in Private Practice and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mobility Rehab LLC was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.