Healthcare Provider Details

I. General information

NPI: 1548193154
Provider Name (Legal Business Name): 321 PIVOT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 INDIAN HARBOUR CT
INDIAN HARBOUR BEACH FL
32937-3618
US

IV. Provider business mailing address

7 INDIAN HARBOUR CT
INDIAN HARBOUR BEACH FL
32937-3618
US

V. Phone/Fax

Practice location:
  • Phone: 321-591-9067
  • Fax: 321-773-9067
Mailing address:
  • Phone: 321-591-9067
  • Fax: 321-773-9067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. JESSICA ANN TRIO
Title or Position: OWNER
Credential: OTD, OTR/L
Phone: 321-591-9067