Pivotal Performance Occupational Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PIVOTAL PERFORMANCE OCCUPATIONAL THERAPY LLC

Practice address

46 Radcliff Dr
New City, NY 10956-3641

Phone

(845) 474-2361

Fax

(845) 639-4007

NPI assigned

Nov 5, 2020

Organization subpart

Yes

Parent organization

PIVOTAL PERFORMANCE OCCUPATIONAL THERAPY PLLCAs reported in NPPES

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

Authorized official

Name

Mrs. Nicole Muriel, OTR/L

Title

Owner/Ceo and Provider

Phone

(845) 474-2361

Specialties & licenses 1

Addresses

Other names 1

• PivOTal Performance Doing business as

Electronic endpoints 1

Part of

Pivotal Performance Occupational Therapy PLLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pivotal Performance Occupational Therapy PLLC

  • Occupational Therapist
  • New City, NY
  • NPI 1194386664
  NPPES parent name

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1942801824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 RADCLIFF DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563641",
            "telephone_number": "845-474-2361",
            "fax_number": "845-639-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 RADCLIFF DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563641",
            "telephone_number": "845-474-2361",
            "fax_number": "845-639-4007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Hudson St",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076016655",
            "country_code": "US",
            "telephone_number": "845-474-2361",
            "fax_number": "845-639-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIVOTAL PERFORMANCE OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIVOTAL PERFORMANCE OCCUPATIONAL THERAPY PLLC",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "MURIEL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/CEO AND PROVIDER",
        "authorized_official_telephone_number": "845-474-2361",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.pivotalot.com",
            "affiliation": "N",
            "endpointDescription": "website with hippa email contact page",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "46 Radcliff Dr",
            "city": "New City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109563641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PivOTal Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manthana Phothisatean, PT, DPT
• Physiatry PLLC
• Elizabeth Piccolo, PMHNP
• Chad Pilieri
• Anna Pisano
• Pivotal Performance Occupational Therapy PLLC
• Erik Scott Plaia, DPT
• Stacey Lynn Plain, MS.ED, NCSP
• Plastic Surgery Associates of New City, P.C.
• Edouard Platel, REGISTERED NURSE

• Occupational Therapist in New City, NY
• Providers in New City, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.