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
JUANA GRANADOS (CREDENTIALING DIRECTOR)
(630) 575-1980
Entity
Organization
Contact information
Practice address
3570 SAINT JOHNS LN STE 13, ELLICOTT CITY, MD 21042-4037
(410) 461-6776
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(252) 248-3313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
10/01/2025
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