Healthcare Provider Details

I. General information

NPI: 1699636365
Provider Name (Legal Business Name): PIVOTAL WELLNESS COLLABORATIVE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MESSENGER ST STE 7
PLAINVILLE MA
02762-5012
US

IV. Provider business mailing address

160 MOULTON ST
REHOBOTH MA
02769-2500
US

V. Phone/Fax

Practice location:
  • Phone: 508-233-8050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARISA BABB-WETHERELL
Title or Position: OWNER
Credential: PT, DPT
Phone: 508-233-8050