Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PIVOT PHYSICAL THERAPY OF CENTRAL MARYLAND LLC
Active
Organization
PIVOT PHYSICAL THERAPY OF CENTRAL MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHEDA BROUGHTON (CREDENTIALING MANAGER)
(919) 258-2714
Entity
Organization
Contact information
Practice address
75 THOMAS JOHNSON DR STE M, FREDERICK, MD 21702-4895
(301) 698-9761
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/15/2022
Last updated
01/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up