Active NPI
Lauren Potter, PT
- Physical Therapist
- Mountain BRK, AL
National Provider Identifier
1093442337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH10945
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH10945 | AL | MD | Physical Therapist |
Interoperability endpoints
- 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
- Ron Benton Pitkanen, M.D.
- Pivotal Physical Therapy, LLC (Pivotal Physical Therapy)
- Leslie Reagan Plaia, LPC
- PM Method Physical Therapy and Pilates LLC
- Carrie Price Poer
- Christine Powell-Hoelle
- Rachel Kopf Presley, ATC
- Susan Alexandra Preston, DPT
- Pro Level Performance & Physio Inc
- Professtional Counseling Services (Resolve Counseling)
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.