Southern Delaware Sportscare and Rehabilitation, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOUTHERN DELAWARE SPORTSCARE AND REHABILITATION, LLC

Doing business as

PIVOT PHYSICAL THERAPY

Practice address

701 Savannah Rd
Ste A1
Lewes, DE 19958-1550

Phone

(302) 644-2530

NPI assigned

Aug 18, 2016

Organization subpart

No

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

Authorized official

Name

Harris Thompson

Title

Ceo

Phone

(410) 885-6371

Specialties & licenses 2

Addresses

Other names 1

• PIVOT PHYSICAL THERAPY Doing business as

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1902351034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FAIRMOUNT AVE",
            "address_2": "SUITE 302",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865457",
            "telephone_number": "410-927-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SAVANNAH RD",
            "address_2": "STE A1",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581550",
            "telephone_number": "302-644-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DELAWARE SPORTSCARE AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-885-6371"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIVOT PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark A Sordi, MD
• Zarina Joy Simeon Soriano
• Southern de Oral and Maxillofacial Surgery Associates, PA
• Southern Delaware Imaging Assoc
• Southern Delaware Physical Therapy, Inc.
• Southern Delaware Vascular Institute, LLC
• Danielle Spagnolo, DPT
• Ashley Spangler, APRN
• Harold M Spangler, M.D.
• Justin Ross Spencer

• Physical Therapist in Lewes, DE
• Providers in Lewes, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.