Jessica H Pivnik, RYT

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

623 Broadway
Massapequa, NY 11758-5027

Phone

(516) 781-1078

NPI assigned

Dec 31, 2019

Last updated

Oct 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colorado Luna Care Physical Therapy LLC

  • Physical Therapist
  • Denver, CO
  • NPI 1891461125
  Medicare reassignment Care Compare group NPD
• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083
  Medicare reassignment NPD
• Intermountain Medical Group Denver, LLC

  dba Orthopedic Centers of Colorado - Saint Joseph

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD
• Intermountain Medical Group Denver, LLC

  dba Denver West Clinic - Prmary Care

  • Family Medicine Physician
  • Lakewood, CO
  • NPI 1114531522
  NPD
• Emerge Yoga & Wellness

  dba Emerge Integrative Wellness

  • Acupuncturist
  • Massapequa, NY
  • NPI 1417319252
  NPD (past)

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634947200000",
    "number": "1477192987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ALBANY AVE",
            "city": "N MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582100",
            "telephone_number": "516-547-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585027",
            "telephone_number": "516-781-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIVNIK",
        "first_name": "JESSICA",
        "middle_name": "H",
        "credential": "RYT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Pierre-Louis
• Kathy Ann Pinckney, LPN
• Michelle Pinkhasova, NP
• Anissa Annie Pittari, NP-BC
• Michael Pittelli, OD
• Taylor Pizzimenti, DPT
• Plainedge School District
• Tania Marie Polanco, MA, CCC/SLP
• Marc S. Pomerantz, D.D.S.
• Karina Ponte, NP

• Rehabilitation Practitioner in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Rehabilitation Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.