Organization Active NPI

Pivot Physical Therapy

  • Physical Therapy Clinic/Center
  • Owings Mills, MD
National Provider Identifier
1447605035
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
25739 Issued in MD
Legal business name
PIVOT PHYSICAL THERAPY
Practice address
10995 Owings Mills Blvd
Suite 210
Owings Mills, MD 21117-1019
Phone
(410) 654-2300
Fax
(443) 378-8645
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Ms. Deepali Madaan, MPT
Title
Physical Therapist
Phone
(410) 382-6641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 25739 MD Primary

Addresses

Primary practice location

10995 Owings Mills Blvd
Suite 210
Owings Mills, MD 21117-1019

Mailing address

10995 Owings Mills Blvd
Suite 210
Owings Mills, MD 21117-1019
Phone (410) 654-2300

National Provider Directory

National Provider Directory

Locations

10995 Owings Mills Blvd
Ste 210
Owings Mills, MD 21117
Phone (410) 654-2300

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1447605035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10995 OWINGS MILLS BLVD",
            "address_2": "SUITE 210",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171019",
            "telephone_number": "410-654-2300",
            "fax_number": "443-378-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10995 OWINGS MILLS BLVD",
            "address_2": "SUITE 210",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171019",
            "telephone_number": "410-654-2300",
            "fax_number": "443-378-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "MADAAN",
        "authorized_official_first_name": "DEEPALI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "410-382-6641",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MD",
            "license": "25739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.