# PIVOT PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447605035
- **Authorized official:** MS. DEEPALI MADAAN MPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (410) 382-6641

## Contact information

- **Practice address:** 10995 OWINGS MILLS BLVD, SUITE 210, OWINGS MILLS, MD 21117-1019
- **Practice address phone:** (410) 654-2300
- **Practice address fax:** (443) 378-8645
- **Mailing address:** 10995 OWINGS MILLS BLVD, SUITE 210, OWINGS MILLS, MD 21117-1019
- **Mailing address phone:** (410) 654-2300
- **Mailing address fax:** (443) 378-8645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 25739 | MD | Yes |

## Other

- **Enumeration date:** 05/02/2016
- **Last updated:** 05/02/2016