Pivotal Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PIVOTAL PHYSICAL THERAPY LLC

Practice address

2809 W Godman Ave Ste 8
Muncie, IN 47304-4415

Phone

(765) 703-0520

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Brianne Kelly, PTNPI 1366797854

Title

Owner

Phone

(260) 703-0520

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brianne J Kelly, PT

  • Physical Therapist
  • Anderson, IN
  • NPI 1366797854
  NPD Authorized official

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1841883097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N BENTON RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473048506",
            "telephone_number": "260-703-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 W GODMAN AVE STE 8",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044415",
            "telephone_number": "765-703-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-703-0520",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unnikrishnan PK Pillai, MD
• Alexis Pinnick
• Nicholas Anthony Pipito, M.D.
• Carmen L Pisc, MD
• Pivotal Beginnings Youth and Family Services
• Katheryn Plankenhorn, WHNP-BC
• Planned Parenthood of Indiana Muncie
• Madison Alexandra Plumer, CPNP-DNP
• Freida Jean Plyley
• Christy Pointer

• Physical Therapy Clinic/Center in Muncie, IN
• Providers in Muncie, IN by specialty
• Physical Therapy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.