PIVOT PHYSICAL THERAPY (NPI# 1912381906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912381906 |
| Entity Type | Organization |
| Organization Name | PIVOT PHYSICAL THERAPY |
| Practice Address |
4512 Kirkwood Hwy Ste. 303 Wilmington DE 19808-5123 |
| Practice Telephone | 3025046195 |
| Practice Fax Number | 3025046194 |
| Mailing Telephone | 3025046195 |
| Mailing Fax Number | 3025046194 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |
| Authorized Official Name | MR. MATTHEW A PETRUCCELLI II (PHYSICAL THERAPIST/CLINIC DIRECTOR) |
| Authorized Official Telephone | 3025046195 |
| Authorized Official Credential | PT, DPT, SCS, OC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
J1-0003344 | DE | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215387477 | Pivot Physical Therapy | Physical Therapist | 15th 6th St South, Fairfield, MT 59436-0457 | 2016-06-20 |
| 1447605035 | Pivot Physical Therapy | Clinic/Center | 10995 Owings Mills Blvd, Suite 210, Owings Mills, MD 21117-1019 | 2016-05-02 |
| 1871992040 | Pivot Physical Therapy | Clinic/Center | 1207 Liberty Rd, Suite 106, Eldersburg, MD 21784-6574 | 2014-08-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Pivot Physical Therapy of Pennsylvania LLC | 501 Fairmount Ave Ste 302, Towson, Maryland 21286 |
| Street Address |
4512 KIRKWOOD HWY STE. 303 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19808-5123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962409029 | Poorwa I Kenkre | Internal Medicine | 4512 Kirkwood Hwy, Suite 300, Wilmington, DE 19808-5123 | 2005-07-05 |
| 1073998605 | Matthew Petruccelli II | Physical Therapist | 4512 Kirkwood Hwy, Ste 303, Wilmington, DE 19808-5123 | 2015-07-24 |
| 1891048179 | Regional Medical Group LLC | Family Medicine | 4512 Kirkwood Hwy, Ste 202, Wilmington, DE 19808-5123 | 2012-10-24 |
| 1699908558 | Debra L Delaney | Nurse Practitioner | 4512 Kirkwood Hwy, Suite 300, Wilmington, DE 19808-5123 | 2009-08-26 |
| 1417140088 | Christine Arnold | Physical Therapist | 4512 Kirkwood Hwy, Suite 101, Wilmington, DE 19808-5123 | 2007-08-27 |
| 1952519118 | Andra Mirela Popescu | Internal Medicine | 4512 Kirkwood Hwy, Suite 301, Wilmington, DE 19808-5123 | 2007-05-20 |
| 1982720538 | Laura Manfield | Family Medicine | 4512 Kirkwood Hwy, #301, Wilmington, DE 19808-5123 | 2007-03-22 |
| 1306993316 | Pramod K Yadhati | Anesthesiology | 4512 Kirkwood Hwy, Suite 200, Wilmington, DE 19808-5123 | 2007-01-04 |
| 1801943824 | Brandywine Pain Management P A | Anesthesiology | 4512 Kirkwood Hwy, Suite 200, Wilmington, DE 19808-5123 | 2007-01-04 |
| 1083761258 | Emmanuel Devotta | Anesthesiology | 4512 Kirkwood Hwy, Suite 200, Wilmington, DE 19808-5123 | 2007-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800562 | Chukwufumnanya Judith Ojo | Nurse Practitioner | 5233 W Woodmill Dr., Suite 46, Wilmington, DE 19808 | 2020-08-06 |
| 1609496124 | Doko Medical Inc. | Psychologist | 3422 Old Capitol Trail, # 626, Wilmington, DE 19808 | 2020-04-24 |
| 1861045544 | Terry Lea Ramsey | Social Worker | 5234 W. Woodmill Drive, Unit 46, Wilmington, DE 19808 | 2019-07-22 |
| 1699266387 | Brandywine Podiatry, Pa | Durable Medical Equipment & Medical Supplies | 5311 Limestone Rd Ste 200, Stoney Batter II, Wilmington, DE 19808 | 2018-05-29 |
| 1225551948 | Donald Lambert IIi | Massage Therapist | 1900 Newport Gap Pike, Wilmington, DE 19808 | 2017-07-25 |
| 1952830374 | Rachelle Najula Mclellan | Physical Therapist | 2215 Saint Francis St, Wilmington, DE 19808 | 2017-06-08 |
| 1477087401 | Rca Outpatient Services LLC | Clinic/Center | Recovery Centers of America At Delaware, 2383 Limestone Road, Wilmington, DE 19808 | 2017-04-17 |
| 1922557727 | Legacy Treatment Services | Community/Behavioral Health | 5602 Kirkwood Highway, Wilmington, DE 19808 | 2016-09-22 |
| 1235590993 | Jingbo Sun | Pharmacist | 1308 Centerville Rd., Wilmington, DE 19808 | 2016-03-09 |
| 1316321599 | Wayne Kevin Pansa Jr. | Social Worker | 5205 W Woodmill Dr Ste 33, Wilmington, DE 19808 | 2015-07-16 |
| Find all providers in zip 19808 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669092755 | Nxt Lvl Therapy LLC | Clinic/Center | 4723 Concord Pike Unit 8, Wilmington, DE 19803-1446 | 2020-04-20 |
| 1174183958 | Revive Health & Wellness LLC | Clinic/Center | 2502 Silverside Rd Ste 4b, Wilmington, DE 19810-3740 | 2019-06-14 |
| 1568925220 | Occupational Health Centers of Ohio, P.a., Co. | Clinic/Center | 2627 S South St, Wilmington, OH 45177-2926 | 2019-04-10 |
| 1174000210 | Omega Project Pt | Clinic/Center | 1806 N Van Buren St Ste 100, Wilmington, DE 19802-3851 | 2018-07-22 |
| 1104324482 | Iopt, LLC | Clinic/Center | 3973a Market St Bldg D, Wilmington, NC 28403-1403 | 2018-01-31 |
| 1285159541 | James Lolli Jr. | Clinic/Center | 1401 Foulk Rd Ste 203, Wilmington, DE 19803-2764 | 2017-08-08 |
| 1902332927 | Hartnett Physical Therapy | Clinic/Center | 800 Woodlawn Ave Ste B, Wilmington, DE 19805-2815 | 2017-05-11 |
| 1578920138 | Connections Physical Therapy, LLC | Clinic/Center | 3600 S College Rd, Ste E #392, Wilmington, NC 28412-5240 | 2016-01-26 |
| 1255749438 | Falcon Therapy and Fitness LLC | Clinic/Center | 4602 Big Rock Dr, Wilmington, DE 19802-1004 | 2014-07-31 |
| 1881032142 | Whole Health P.l.l.c. | Clinic/Center | 3715 Patriot Way Ste 141, Wilmington, NC 28412-6901 | 2013-06-10 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19808 |
Please comment or provide details below to improve the information on PIVOT PHYSICAL THERAPY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.