Lidu Ivette Potter, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT10194 Issued in FL

Practice address

971 Virginia Ave
Suite a
Palm Harbor, FL 34683-5235

Phone

(727) 773-2687

Fax

(727) 773-2742

NPI assigned

Aug 23, 2006

Last updated

Aug 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• About All Kids Therapy Services LLC

  • Speech-Language Pathologist
  • Lutz, FL
  • NPI 1770130643
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1013024686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 ALT 19 STE A",
            "city": "PALM",
            "state": "FL",
            "postal_code": "346835363",
            "telephone_number": "727-773-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 VIRGINIA AVE",
            "address_2": "SUITE A",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835235",
            "telephone_number": "727-773-2687",
            "fax_number": "727-773-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "LIDU",
        "middle_name": "IVETTE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT10194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polomar Specialty Pharmacy LLC
• Andrew Polomsky, DPT
• Nina Poncia, HIS
• John Portolano, LCSW
• Alyssa Joy Posavec, LCSW
• Farah Poustchi-Amin, DDS
• Rajayshree Power, ARNP
• November Pozzi
• Precision Medical Center, LLC (Precision Health)
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• Pediatric Occupational Therapist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.