James Daniel Potestivo, A.T.,C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

6190 Hospital Dr
Suite 101
Cass City, MI 48726-1072

Phone

(989) 872-2084

Fax

(989) 872-4337

NPI assigned

Sep 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

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.

• Hills & Dales General Hospital, Inc.

  dba Hills & Dales Center for Rehab

  • Physical Therapy Clinic/Center
  • Cass City, MI
  • NPI 1225257348
  NPD (past)
• Hills & Dales General Hospital, Inc.

  dba Cass City Primary Care - Rural Health Clinic

  • Rural Health Clinic/Center
  • Cass City, MI
  • NPI 1538109202
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073617502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N HANSELMAN ST",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131234",
            "telephone_number": "989-269-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 HOSPITAL DR",
            "address_2": "SUITE 101",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261072",
            "telephone_number": "989-872-2084",
            "fax_number": "989-872-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTESTIVO",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "credential": "A.T.,C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jullia Pawlosky
• Christina Pergande, BT
• Skylar Peters
• Pluscare LLC (Pluscare Pharmacy)
• Julia Pohl, BT
• Amanda Price, BT
• Kaleigh Prill, BT
• Primemed Supplies Inc
• Adien John Pussehl
• Crysta Ransom-Soper, LMSW

• Athletic Trainer in Cass City, MI
• Providers in Cass City, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.