Organization Active NPI

Pivot Rehab

  • Clinic/Center
  • Port Orchard, WA
National Provider Identifier
1811754039
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Sep 24, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.