Individual provider Active NPI

Lauren Potter, PT

  • Physical Therapist
  • Mountain BRK, AL
National Provider Identifier
1093442337
Registry record updated Sep 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH10945 Issued in AL
Practice address
3918 Montclair Rd Ste 101
Mountain BRK, AL 35213-2417
Phone
(205) 761-1068
NPI assigned
Aug 5, 2022
Last updated
Sep 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH10945 AL Primary

Addresses

Primary practice location

3918 Montclair Rd Ste 101
Mountain BRK, AL 35213-2417

Mailing address

3918 Montclair Rd Ste 101
Mountain BRK, AL 35213-2417
Phone (205) 761-1068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH10945ALMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: lauren.potter.1@1366.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693612800000",
    "number": "1093442337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 MONTCLAIR RD STE 101",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132417",
            "telephone_number": "205-761-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 MONTCLAIR RD STE 101",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132417",
            "telephone_number": "205-761-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "LAUREN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2023-09-02",
        "certification_date": "2023-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH10945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2023; 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.