Healthcare Provider Details
I. General information
NPI: 1356277677
Provider Name (Legal Business Name): PIVOT PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/23/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
689 AIRPORT CTR STE A
FRIDAY HARBOR WA
98250-5505
US
IV. Provider business mailing address
689 AIRPORT CTR STE A
FRIDAY HARBOR WA
98250-5505
US
V. Phone/Fax
- Phone: 440-241-2649
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KATHLEEN
ANN
BURNS
Title or Position: PHYSICAL THERAPIST / OWNER
Credential: PT, DPT, FAAOMPT
Phone: 360-472-2534