MEDICARE: PIVOT REHABILITATION SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1063243640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIVOT REHABILITATION SERVICES

Provider Business Mailing Address
First Line	:	2537 GOLDEN BEAR DR
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75006-2377
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16750 WESTGROVE DR STE 300C
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-5688
Country	:	US
Telephone Number	:	972-729-6957
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ROBIN UNDERHILL
Credential	:
Telephone Number	:	214-954-4114

Provider Enumeration Date	:	08/13/2024
Last Update Date	:	07/24/2025

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Directions to “PIVOT REHABILITATION SERVICES ” Practice Location

Language	Start Address	Practice Location

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