Pivotal Pathways LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PIVOTAL PATHWAYS LLC

Practice address

19021 E Chokeberry St
Owasso, OK 74055-0037

Phone

(918) 972-1088

Fax

(918) 921-8143

NPI assigned

Sep 19, 2022

Last updated

Sep 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen M Gary, RN, BCBA, LBANPI 1447972195

Title

Owner

Phone

(918) 972-1088

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Kathleen M Gary, RN, BCBA, LBA

  • Behavior Analyst
  • Owasso, OK
  • NPI 1447972195
  NPD Authorized official

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1255053906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 754",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740550754",
            "telephone_number": "918-972-1088",
            "fax_number": "918-921-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19021 E CHOKEBERRY ST",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740550037",
            "telephone_number": "918-972-1088",
            "fax_number": "918-921-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "GARY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-972-1088",
        "authorized_official_credential": "RN, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaylon Phy
• Meagan Pilgrim
• Pine Ridge Mental Healthcare, LLC
• Pinnacle Healthcare of Oklahoma LLP
• Pinnacle Healthcare of Oklahoma, LLP (WorkHealth Solutions)
• Brent Plaxico, O.D.
• Lauretta Jem Pontiflet
• Jone Post, D.PH.
• Marcus C Potter
• Ashley Poulin, PTA

• Behavior Analyst in Owasso, OK
• Providers in Owasso, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.