Kenneth Logdonio Potestas, PT

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

070022093 Issued in IL

Practice address

16089 Poppyseed Cir Unit 2008
Delray Beach, FL 33484-6314

Phone

(561) 713-0812

NPI assigned

May 4, 2016

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ultimate Care Inc.

  • Occupational Therapist
  • Delray Beach, FL
  • NPI 1316382898
  NPD (past)

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1194170555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16089 POPPYSEED CIR UNIT 2008",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846314",
            "telephone_number": "561-713-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16089 POPPYSEED CIR UNIT 2008",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846314",
            "telephone_number": "561-713-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTESTAS",
        "first_name": "KENNETH",
        "middle_name": "LOGDONIO",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": "070022093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cary Posar, MD
• Positive Therapy Center, LLC
• Michael Posner
• Kenneth D Poss, DPM
• Linda Potere, CAP, LADAC, LHCRM
• Rebecca Forster Potok, PT, DPT, ATC
• Jacklyn Potts
• Isabella Nicole Poules
• Pound Ridge Holdings LLC
• Kathryn Kowalczyk Powell, LCSW

• Health Maintenance Organization in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.