Organization Active NPI

Pivotal Physical Therapy, PLLC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1063554806
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0103911 Issued in NY
Legal business name
PIVOTAL PHYSICAL THERAPY, PLLC
Practice address
30 East 60TH St., Suite 1006
New York, NY 10022
Phone
(212) 317-9798
Fax
(212) 245-5935
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Eveline Anna Erni, PT
Title
Owner, Clinical Director
Phone
(212) 317-9798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0103911 NY Primary

Addresses

Primary practice location

30 East 60TH St., Suite 1006
New York, NY 10022

Mailing address

30 East 60TH St., Suite 1006
New York, NY 10022
Phone (212) 317-9798

Other names 1

  • Eveline Erni Physical Therapy Former legal business name

National Provider Directory

National Provider Directory

Locations

41 W 57th St
Fl 4
New York, NY 10019
Phone (212) 317-9798

30 W 57th St
New York, NY 10019
Phone (212) 317-9798

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1063554806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EAST 60TH ST., SUITE 1006",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-317-9798",
            "fax_number": "212-245-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 EAST 60TH ST., SUITE 1006",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-317-9798",
            "fax_number": "212-245-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "ERNI",
        "authorized_official_first_name": "EVELINE",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "212-317-9798",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0103911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eveline Erni Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Eveline Erni Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.