Pivot Physical Therapy of Mid Atlantic, LLC – Physical Therapist, NPI 1205875093
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Pivot Physical Therapy of Mid Atlantic, LLC
632 W STEIN HWY
SEAFORD, DE 199731204
Phone: (302) 629-5700
Fax: (302) 629-6001
Type: Location
Fairmount Avenue, East Towson, Towson, Baltimore County, Maryland, 21286, United States
TOWSON, MD 212865494
Phone: (410) 885-4607
Type: Mailing
New Fidelity Court, Garner, Wake County, North Carolina, 275, United States
GARNER, NC 275292665
Phone: (919) 258-2714
Type: Location
2122 YORK RD STE 300
OAK BROOK, IL 605231925
Phone: (252) 248-3313
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-08-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20060807000197 | O | Physical/Occupational Therapy Group In Private Practice | PA | TBD |
| O20060831000322 | O | Clinic/Group Practice | DE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19973)
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