# PIVOTAL HEALTH AND REHAB LLC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1720812670
- **Authorized official:** RYAN WAYNE BOWERS DC (OWNER/CEO)
- **Authorized official phone:** (803) 254-4699

## Contact information

- **Practice address:** 120 HIGHLAND CENTER DR, COLUMBIA, SC 29203-9127
- **Practice address phone:** (803) 254-4699
- **Practice address fax:** (803) 851-1235
- **Mailing address:** PO BOX 8, LEXINGTON, SC 29071-0008
- **Mailing address phone:** (803) 254-4699
- **Mailing address fax:** (803) 851-1235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/30/2024
- **Last updated:** 08/30/2024