Ultimate Potential Therapy

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ULTIMATE POTENTIAL THERAPY

Practice address

5472 Whispering Pnes
Stevensville, MI 49127-9674

Phone

(216) 409-0239

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Jessica Brickman, M.S. CCC-SLP

Title

Speech Language Pathologist

Phone

(216) 409-0239

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Gaytan, MS SLP

  • Speech-Language Pathologist
  • Benton Harbor, MI
  • NPI 1144831009
  NPD

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1104548379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5472 WHISPERING PNES",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279674",
            "telephone_number": "216-409-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5472 WHISPERING PNES",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279674",
            "telephone_number": "216-409-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE POTENTIAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "BRICKMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "216-409-0239",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rowena Marjorie Spafford, P.T.
• Scott David Sutton, ATC, LAT
• Tamer Psychiatry
• Hope L Taylor-Kirchner, CMT,MMT
• Troy A Thompson, MD
• Rebecca Louise Valentine, LMT
• Kathryn M Vera, NP
• Deborah A Vliet, NP-C
• Walgreen Co
• Walgreen Co

• Health Service Clinic/Center in Stevensville, MI
• Providers in Stevensville, MI by specialty
• Health Service Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.