Active NPI
Pivot Acupuncture and Physical Therapy PLLC
- Acupuncturist
- Rochester, NY
National Provider Identifier
1235551219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 004900
- Legal business name
- PIVOT ACUPUNCTURE AND PHYSICAL THERAPY PLLC
- Practice address
- 64 Cloverland Dr
Rochester, NY 14610-2709 - Phone
- (585) 709-1482
- Fax
- (585) 348-2181
- NPI assigned
- Jan 10, 2014
- Last updated
- Jan 10, 2014
- 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
- Derek Barclay, PT, LAC
- Title
- Co-Owner
- Phone
- (585) 709-1482
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 030451 | NY | |
| Acupuncturist | 171100000X | 004900 | NY | Primary |
| Acupuncturist | 171100000X | 005091 | NY |
Addresses
Primary practice location
64 Cloverland Dr
Rochester, NY 14610-2709
Mailing address
64 Cloverland Dr
Rochester, NY 14610-2709
Phone (585) 709-1482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Rochester, NY
- NPI 1235395260
-
- Acupuncturist
- Bergen, NY
- NPI 1558709733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389312000000",
"number": "1235551219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 CLOVERLAND DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146102709",
"telephone_number": "585-709-1482",
"fax_number": "585-348-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 CLOVERLAND DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146102709",
"telephone_number": "585-709-1482",
"fax_number": "585-348-2181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIVOT ACUPUNCTURE AND PHYSICAL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-10",
"last_updated": "2014-01-10",
"status": "A",
"authorized_official_last_name": "BARCLAY",
"authorized_official_first_name": "DEREK",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "585-709-1482",
"authorized_official_credential": "PT, LAC"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "030451",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "004900",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "005091",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.