Active NPI
Pivot Physical Therapy
- Physical Therapy Clinic/Center
- Eldersburg, MD
National Provider Identifier
1871992040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 25150
- Legal business name
- PIVOT PHYSICAL THERAPY
- Practice address
- 1207 Liberty Rd
Suite 106
Eldersburg, MD 21784-6574 - Phone
- (410) 549-5700
- NPI assigned
- Aug 13, 2014
- 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
- Kristen Alyssa Pifer, DPT
- Title
- Physical Therapist
- Phone
- (215) 206-6057
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 25150 | MD | Primary |
Addresses
Primary practice location
1207 Liberty Rd
Suite 106
Eldersburg, MD 21784-6574
Mailing address
7407 Village Rd Apt 12
Sykesville, MD 21784-7461
Phone (215) 206-6057
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407888000000",
"number": "1871992040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7407 VILLAGE RD APT 12",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217847461",
"telephone_number": "215-206-6057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 LIBERTY RD",
"address_2": "SUITE 106",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846574",
"telephone_number": "410-549-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIVOT PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-13",
"last_updated": "2014-08-13",
"status": "A",
"authorized_official_last_name": "PIFER",
"authorized_official_first_name": "KRISTEN",
"authorized_official_middle_name": "ALYSSA",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "215-206-6057",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MD",
"license": "25150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eldersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.