Pivotal Physical Therapy LLC
NPI 1861188344ActiveOrganization· Physical Therapist· Gulf Breeze, FL
Physical Therapist in Gulf Breeze, Florida, registered in NPPES in April 2023. The authorized official on file is Nicholas Trevino, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1861188344 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2023 |
| Last updated in NPPES | Apr 17, 2023 |
| Certified by provider | Apr 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (FL) |
|---|
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