Pivotal Movement Experts, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PIVOTAL MOVEMENT EXPERTS, PLLC

Practice address

418 N Kellogg St Ste D
Kennewick, WA 99336-4947

Phone

(509) 237-6868

Fax

(509) 231-7048

NPI assigned

Jan 9, 2020

Last updated

Aug 28, 2024By 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

Jacob Nelson, PT, DPT

Title

Member

Phone

(509) 531-5100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1497395263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 DUPORTAIL ST # 170",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993526103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N KELLOGG ST STE D",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993364947",
            "telephone_number": "509-237-6868",
            "fax_number": "509-231-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL MOVEMENT EXPERTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "509-531-5100",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Ann Pittam
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• Planned Parenthood of Greater Washington & North Idaho
• Gary M Podhaisky, MD
• Amanda Poffenberger
• Roxana Ponce, LMT

• Physical Therapy Clinic/Center in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.