Pivotal Pediatric Therapy, PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PIVOTAL PEDIATRIC THERAPY, PLLC

Practice address

2602 San Mateo Dr
Plainfield, IL 60586-8453

Phone

(708) 417-1767

NPI assigned

May 9, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Kayla Arianna Philbrick, M.S., OTR/LNPI 1942971692

Title

Occupational Therapist

Phone

(708) 417-1767

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kayla Arianna Philbrick, OTR/L

  • Occupational Therapist
  • Shorewood, IL
  • NPI 1942971692
  NPD Authorized official

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1134819550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 SAN MATEO DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605868453",
            "telephone_number": "708-417-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 SAN MATEO DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605868453",
            "telephone_number": "708-417-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL PEDIATRIC THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "PHILBRICK",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "ARIANNA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "708-417-1767",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassie Pierson
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• Zachary Pirc
• Francine Pitcairn, RPH
• Tiana Pittman
• Plainfield Area Primary Care Physicians, LLC
• Plainfield Chiropractic and Rehabilitation, LTD
• Plainfield Chiropractic, LLC
• Plainfield Community Consolidated School District 202
• Plainfield Counseling Center, LLC

• Occupational Therapist in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.