Pivot Physical Therapy of Central Maryland LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PIVOT PHYSICAL THERAPY OF CENTRAL MARYLAND LLC

Practice address

10085 Red Run Blvd Ste 304
Owings Mills, MD 21117-4832

Phone

(410) 363-4887

Fax

(410) 363-3599

NPI assigned

Jan 15, 2022

Organization subpart

No

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

Authorized official

Name

Tasheda Brougton

Title

Credentialing Manager

Phone

(252) 248-3313

Specialties & licenses 1

Addresses

Tax ID family

Pivot Physical Therapy of Central Maryland LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Pivot Physical Therapy of Central Maryland LLC

  • Physical Therapist
  • Frederick, MD
  • NPI 1255082723
  NPD tax ID
• Pivot Physical Therapy of Central Maryland LLC

  • Physical Therapist
  • Laurel, MD
  • NPI 1447901913
  NPD tax ID
• Pivot Physical Therapy of Central Maryland LLC

  • Clinic/Center
  • Ellicott City, MD
  • NPI 1477211704
  NPD tax ID
• Pivot Physical Therapy of Central Maryland LLC

  • Physical Therapist
  • Ellicott City, MD
  • NPI 1487305017
  NPD tax ID

Locations

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

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1346991817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10085 RED RUN BLVD STE 304",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174832",
            "telephone_number": "410-363-4887",
            "fax_number": "410-363-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOT PHYSICAL THERAPY OF CENTRAL MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-15",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "BROUGTON",
        "authorized_official_first_name": "TASHEDA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "252-248-3313"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Pietrasko
• A'Imayi I Pinder
• Pinnacle Physical Therapy LLC
• Helen Pitts
• Pivot Physical Therapy
• Jerome Steven Plasse, MD
• Pleasant Haven Home Care Provider
• Savannah D Plenty
• PLMD, LLC
• Stanley Marvin Plunka, D.D.S.

• Physical Therapist in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.