Active NPI
Pivot Rehab
- Clinic/Center
- Port Orchard, WA
National Provider Identifier
1811754039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PIVOT REHAB
- Practice address
- 4756 Oakhurst LN SW
Port Orchard, WA 98367-9363 - Phone
- (360) 535-3534
- NPI assigned
- Mar 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leandra Cooper
- Title
- Occupational Therapist
- Phone
- (360) 535-3534
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
4756 Oakhurst LN SW
Port Orchard, WA 98367-9363
Mailing address
4756 Oakhurst LN SW
Port Orchard, WA 98367-9363
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727136000000",
"number": "1811754039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4756 OAKHURST LN SW",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983679363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4756 OAKHURST LN SW",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983679363",
"telephone_number": "360-535-3534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIVOT REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-04",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "LEANDRA",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "360-535-3534"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orchard, WA
- Scean Pickering
- Patti Jean Pilch, LMP
- Leslie Jo Pine, LMP
- Matthew Pirkle
- Cassandra Louise Marie Pitts, MA60269500
- Julie Ann Plumb, CDPT
- PO SNF Operations LLC (Avamere Rehabilitation at Ridgemont)
- Poplar Heights Birth and Wellness Center, LLP (Poplar Heights Birth Center)
- Port Orchard Alzheimers Care LLC
- Port Orchard Dental LLC (Comfort Dental Port Orchard)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.