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JESSICA H PIVNIK RYT
NPI 1477192987
Rehabilitation Practitioner in Massapequa, NY

Active since December 31, 2019Accepts Medicare Assignment
623 BROADWAY, MASSAPEQUA, NY 11758(516) 781-1078 Get Directions Write a Review

NPPES record last updated: October 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 23, 2021, Dec 31, 2019 (2 updates tracked since 2019).

About Jessica H Pivnik Ryt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA H PIVNIK RYT (NPI 1477192987) is an individual rehabilitation practitioner in Massapequa, New York and active in the NPI registry since December 2019. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1477192987
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameJESSICA H PIVNIKCredential: RYT
Location Address623 BROADWAYMassapequa, NY 11758-5027
Mailing Address261 N Albany AveN Massapequa, NY 11758-2100 · (516) 547-2343
Phone(516) 781-1078
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 31, 2019
Last NPPES UpdateOctober 23, 20212 updates tracked since enumeration
NPPES CertifiedOctober 23, 2021
✔ NPI 1477192987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
623 BROADWAY, Massapequa, NY 11758
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica H Pivnik Ryt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052814365
PECOS Enrollment IDI20250912000358

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Pivnik reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Intermountain Medical Group Denver, LLC
1,645 mi
Clinical
1606 PRAIRIE CENTER PKWY STE 210
Brighton, CO 80601
  • Reassigned Medicare billing, Colorado enrollment
  • 1,270 clinicians in this Medicare group
NPI 1164195673 (303) 403-6688
Colorado Luna Care Physical Therapy LLC
1,657 mi
Physical Therapist
501 S CHERRY ST FL 11
Denver, CO 80246
  • Reassigned Medicare billing, Colorado enrollment
  • 373 clinicians in this Medicare group
NPI 1891461125 (866) 525-3175

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARQUELINE SAINT-SURIN LMT
Massage Therapist
623 BROADWAY
MASSAPEQUA, NY 11758
Nassau County (516) 781-1078
ADAMA MAYNARD LMT
Massage Therapist
623 BROADWAY
MASSAPEQUA, NY 11758
Nassau County (516) 781-1078
MARK DOHERTY LAC, LMT
Acupuncturist
623 BROADWAY
MASSAPEQUA, NY 11758
Nassau County (516) 781-1078
ALEXANDER ROWE
Massage Therapist
623 BROADWAY
MASSAPEQUA, NY 11758
Nassau County (516) 781-1078
VANESSA JUDE CAFIERO LAC, LMT
Acupuncturist
623 BROADWAY
MASSAPEQUA, NY 11758
Nassau County (516) 781-1078
TABITHA OCHTERA E-RYT
Rehabilitation Practitioner
623 BROADWAY
MASSAPEQUA, NY 11758
Nassau County (516) 781-1078
SYDNIE TAMBERINO LMT, RYT
Massage Therapist
623 BROADWAY
MASSAPEQUA, NY 11758
Nassau County (516) 781-1078
DARCIE EDWARDES LMT
Massage Therapist
623 BROADWAY
MASSAPEQUA, NY 11758
Nassau County (516) 781-1078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Pivnik's NPI number?

The NPI number for Jessica Pivnik is 1477192987. It was assigned to this individual provider in the NPPES registry on December 31, 2019.

Where is Jessica Pivnik located?

Jessica Pivnik practices at 623 Broadway, Massapequa, NY 11758. The listed phone number is (516) 781-1078.

What is Jessica Pivnik's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Is Jessica Pivnik enrolled in Medicare?

Yes. Jessica Pivnik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jessica Pivnik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Pivnik reassigns Medicare benefits to 2 organizations: Intermountain Medical Group Denver, LLC (Brighton, CO) and Colorado Luna Care Physical Therapy LLC (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Pivnik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Pivnik was last updated on October 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.