Pivot Prosthetics and Orthotics, LLC

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

PIVOT PROSTHETICS AND ORTHOTICS, LLC

Practice address

2007 S Douglas Hwy Ste 130
Gillette, WY 82718-5400

Phone

(307) 696-8016

Fax

(307) 206-8104

NPI assigned

Sep 9, 2020

Organization subpart

No

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

Authorized official

Name

Brodie Rice, CPONPI 1417591843

Title

Owner

Phone

(307) 670-0007

Specialties & licenses 4

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Brodie Rice

  • Prosthetist
  • Gillette, WY
  • NPI 1417591843

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1891300604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 S DOUGLAS HWY STE 130",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185400",
            "telephone_number": "307-696-8016",
            "fax_number": "307-206-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 S DOUGLAS HWY STE 130",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185400",
            "telephone_number": "307-696-8016",
            "fax_number": "307-206-8104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 5th St",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577015428",
            "country_code": "US",
            "telephone_number": "307-686-8016",
            "fax_number": "307-206-8104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIVOT PROSTHETICS AND ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "BRODIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-670-0007",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann R. Phillips, LPC
• Physical Therapy of Wyoming LLC
• Elizabeth Ann Pierson, MSW PCSW
• Michael S Pillen
• Brenda Robles Pina, CMT
• Molly Poirier
• Shelbi Polvado, CCC-SLP
• Sarah Elizabeth Poole
• Joshua Popkin, PH.D.
• David Lee Porter, DDS

• Prosthetist in Gillette, WY
• Providers in Gillette, WY by specialty
• Prosthetist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.