Healthcare Provider Details

I. General information

NPI: 1962203604
Provider Name (Legal Business Name): PIVOTPOINT PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 NE STEPHENS ST STE 41
ROSEBURG OR
97470-6410
US

IV. Provider business mailing address

1350 NE STEPHENS ST STE 41
ROSEBURG OR
97470-6410
US

V. Phone/Fax

Practice location:
  • Phone: 541-530-0938
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN LINDSEY
Title or Position: OWNER, PHYSICAL THERAPIST
Credential: PT,DPT
Phone: 541-420-0985