PIVOT PHYSICAL THERAPY NPI 1912381906

Clinic/Center (Physical Therapy) in Wilmington, DE

About PIVOT PHYSICAL THERAPY

Pivot Physical Therapy is a provider in Wilmington, DE. The NPI number assigned to this provider is 1912381906. The practitioner's primary taxonomy code is Clinic/Center (261QP2000X). The provider is registered as an organization and their NPI record was last updated 3 years ago.

NPI

1912381906

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NamePIVOT PHYSICAL THERAPY
Provider Location Address4512 KIRKWOOD HWY STE. 303 WILMINGTON, DE 19808 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address4512 KIRKWOOD HWY STE. 303 WILMINGTON, DE 19808 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date07-20-2015 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-20-2015 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code261QP2000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPhysical Therapy
License No.J1-0003344
License StateDE

Business Address

PIVOT PHYSICAL THERAPY
4512 KIRKWOOD HWY
STE. 303
WILMINGTON, DE
ZIP 19808
Phone: (302) 504-6195
Fax: (302) 504-6194

Get Directions

Mailing Address

PIVOT PHYSICAL THERAPY
4512 KIRKWOOD HWY
STE. 303
WILMINGTON, DE
ZIP 19808
Phone: (302) 504-6195
Fax: (302) 504-6194

Authorized Official

Authorized Official NameMR. MATTHEW A PETRUCCELLI II PT, DPT, SCS, OCS Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePHYSICAL THERAPIST/CLINIC DIRECTOR
Authorized Official Phone(302) 504-6195

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043270234 JAMES H HAYS MD
Individual
Specialist4512 KIRKWOOD HWY STE 302
WILMINGTON, DE 19808
(302) 633-1212
1164445169DELAWARE DIAGNOSTIC SERVICES, INC.
Organization
4512 KIRKWOOD HWY SUITE 202
WILMINGTON, DE 19808
(302) 892-6200
1215936950 CHERYL M SLAVINSKI P.A.
Individual
Physician Assistant4512 KIRKWOOD HWY SUITE 300
WILMINGTON, DE 19808
(302) 992-9617
1366503096LIMESTONE MEDICAL & PEDIATRIC ASSOC, P.A.
Organization
Internal Medicine (Adolescent Medicine)4512 KIRKWOOD HWY SUITE 300
WILMINGTON, DE 19808
(302) 992-9617
1376557330MRS. ANDREA L MARVIN M.D.
Individual
Pediatrics4512 KIRKWOOD HWY SUITE 101
WILMINGTON, DE 19808
(302) 633-6338
1376581363DELAWARE MEDICAL GROUP, LLC
Organization
Internal Medicine4512 KIRKWOOD HWY SUITE 202
WILMINGTON, DE 19808
(302) 993-2453
1417140088 CHRISTINE ARNOLD PT
Individual
Physical Therapist4512 KIRKWOOD HWY SUITE 101
WILMINGTON, DE 19808
(302) 254-2288
1477566446 ANDREW P MYERS MD
Individual
Internal Medicine4512 KIRKWOOD HWY SUITE 101
WILMINGTON, DE 19808
(302) 998-2166
1568404424 DAVID AXON MD
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)4512 KIRKWOOD HWY SUITE 202
WILMINGTON, DE 19808
(302) 993-2453
1588682884 CARLOS E REYES MD
Individual
Internal Medicine4512 KIRKWOOD HWY SUITE 101
WILMINGTON, DE 19808
(302) 998-2166
1699908558MS. DEBRA L DELANEY ACNS, FNP
Individual
Nurse Practitioner (Family)4512 KIRKWOOD HWY SUITE 300
WILMINGTON, DE 19808
(302) 623-7511
1700884061 JAMES E DAMOUR M.D.
Individual
Internal Medicine4512 KIRKWOOD HWY SUITE 300
WILMINGTON, DE 19808
(302) 623-7500
1740268010 MASOOD A SIDDIQUI MD, FCCP
Individual
Internal Medicine (Pulmonary Disease)4512 KIRKWOOD HWY SUITE 300-B
WILMINGTON, DE 19808
(302) 994-4010
1770525701DR. CARLA MORRIS TAYLOR MD, FAAP
Individual
Pediatrics4512 KIRKWOOD HWY SUITE101
WILMINGTON, DE 19808
(302) 633-6338
1801943824BRANDYWINE PAIN MANAGEMENT P A
Organization
Anesthesiology (Pain Medicine)4512 KIRKWOOD HWY SUITE 200
WILMINGTON, DE 19808
(302) 998-2585
1821035734 CHRISTINE MASIELLO NP
Individual
Nurse Practitioner (Family)4512 KIRKWOOD HWY SUITE 301
WILMINGTON, DE 19808
(302) 993-2457
1851390587 JASON D WALKER M.D.
Individual
Pediatrics4512 KIRKWOOD HWY SUITE 300
WILMINGTON, DE 19808
(302) 992-9617
1881638633DR. ALBERT RADFORD MACFARLANE MD
Individual
Pediatrics4512 KIRKWOOD HWY SUITE 201
WILMINGTON, DE 19808
(302) 633-6338
1922178920A RADFORD MACFARLANE MD
Organization
Pediatrics4512 KIRKWOOD HWY SUITE 201
WILMINGTON, DE 19808
(302) 633-6338
1982720538DR. LAURA MANFIELD DO
Individual
Family Medicine4512 KIRKWOOD HWY #301
WILMINGTON, DE 19808
(302) 999-0137
Previous NPI
1912381898
Next NPI
1912381914