Organization Active NPI

Pivot Acupuncture and Physical Therapy PLLC

  • Acupuncturist
  • Rochester, NY
National Provider Identifier
1235551219
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
004900 Issued in NY
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Derek Barclay, PT, LACNPI 1235395260
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20150401000949 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0547587529 Receives reassigned benefits from 1 practitioner
Practice locations: Bergen, NY

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.