Organization
PIVOT PROSTHETICS AND ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRODIE RICE CPO (OWNER)
(307) 670-0007
Entity
Organization
Contact information
Practice address
2007 S DOUGLAS HWY STE 130, GILLETTE, WY 82718-5400
(307) 696-8016
(307) 206-8104
Mailing address
2007 S DOUGLAS HWY STE 130, GILLETTE, WY 82718-5400
(307) 696-8016
(307) 206-8104
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
09/09/2020
Last updated
12/18/2025
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