Active NPI
Pivot Physical Therapy
- Physical Therapist
- Fairfield, MT
National Provider Identifier
1215387477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PIVOT PHYSICAL THERAPY
- Practice address
- 15TH 6TH St South
Fairfield, MT 59436-0457 - Phone
- (406) 467-3800
- Fax
- (406) 467-3828
- NPI assigned
- Jun 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Marie Hodgskiss, D.P.T.
- Title
- Physical Therapist
- Phone
- (406) 590-5158
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | MT | Primary |
Addresses
Primary practice location
15TH 6TH St South
Fairfield, MT 59436-0457
Mailing address
15TH 6TH St South
Fairfield, MT 59436-0457
Phone (406) 467-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160902001946 | MT | Part B Supplier - Clinic/Group Practice | 5698061414 |
Receives reassigned benefits from 2 practitioners Practice locations: Choteau, MT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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": "1466380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466380800000",
"number": "1215387477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15TH 6TH ST SOUTH",
"city": "FAIRFIELD",
"state": "MT",
"postal_code": "594360457",
"telephone_number": "406-467-3800",
"fax_number": "406-467-3828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15TH 6TH ST SOUTH",
"city": "FAIRFIELD",
"state": "MT",
"postal_code": "594360457",
"telephone_number": "406-467-3800",
"fax_number": "406-467-3828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIVOT PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-20",
"last_updated": "2016-06-20",
"status": "A",
"authorized_official_last_name": "HODGSKISS",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "406-590-5158",
"authorized_official_credential": "D.P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.