Southern Delaware Sportscare and Rehabilitation, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOUTHERN DELAWARE SPORTSCARE AND REHABILITATION, LLC

Doing business as

Pivot Physical Therapy

Practice address

2 Lee Ave
Ste 101
Georgetown, DE 19947-2149

Phone

(302) 854-9600

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Harris Thompson

Title

Ceo

Phone

(410) 885-6371

Specialties & licenses 1

Addresses

Other names 1

• PIVOT PHYSICAL THERAPY Doing business as

Locations

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1336695329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FAIRMOUNT AVE",
            "address_2": "STE 302",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865457",
            "telephone_number": "410-927-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LEE AVE",
            "address_2": "STE 101",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472149",
            "telephone_number": "302-854-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DELAWARE SPORTSCARE AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-885-6371"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIVOT PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Dawn Smoot
• Earl Randall Smullen, PTA
• Katharine Newquist Snyder, LCSW
• Sodel Pulmonary Center, LLC
• John David Sohonage, DDS
• Anna Sparrow, PTA
• Hayley A Sprague, O.D.
• Lisa Staab, CRNP
• Jessica Stag, OTR/L
• State of Delaware

• Physical Therapist in Georgetown, DE
• Providers in Georgetown, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.