Christine M Potter

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

004209-1 Issued in NY

Practice address

75 Mohawk St
Fort Plain, NY 13339-1350

Phone

(518) 568-3102

Fax

(518) 568-3109

NPI assigned

Apr 17, 2009

Last updated

Apr 17, 2009By 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

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1013150291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MOHAWK ST",
            "city": "FORT PLAIN",
            "state": "NY",
            "postal_code": "133391350",
            "telephone_number": "518-568-3102",
            "fax_number": "518-568-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MOHAWK ST",
            "city": "FORT PLAIN",
            "state": "NY",
            "postal_code": "133391350",
            "telephone_number": "518-568-3102",
            "fax_number": "518-568-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "004209-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Pandit
• Bhupen N Patel, RPH
• Lee Freeman Pelletier, MA, MDIV
• Alfonso F Pineyro, DDS
• Natasha Umeka Pollard
• Megan Putnam, NP-BC
• Joan M. Scanlon-Dise, OTR
• Emily Schopf
• Shauna Glenn Zemken
• Shivam Sagar Corporation (Medicine Shoppe)

• Occupational Therapy Assistant in Fort Plain, NY
• Providers in Fort Plain, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.