Active NPI
Shaun Stuart Potier, DPT
- Physical Therapist
- Mountain Home, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5002
- Practice address
- 3 Medical PLZ
Mountain Home, AR 72653-2918 - Phone
- (870) 424-3400
- Fax
- (870) 424-4121
- NPI assigned
- Aug 18, 2021
- Sex
- Male
- 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 | PT5002 | AR | Primary |
Addresses
Primary practice location
3 Medical PLZ
Mountain Home, AR 72653-2918
Mailing address
3 Medical PLZ
Mountain Home, AR 72653-2918
Phone (870) 424-3400
Other names 1
- Shaun Stuart Potgieter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 Medical PLZ
Mountain Home, AR 72653-2918
Phone 8704243400306
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5002 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnhill Therapy Services, LLC | Physical Therapist | Current | Accepting new patients |
| Regional Orthopaedic Health Care | Current | Accepting new patients | |
| North Arkansas Speech Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
75 Highway 62 412
Ste J
Ash Flat, AR 72513
Phone (870) 206-9430
3 Medical Plz
Mountain Home, AR 72653
Phone (870) 424-3181
400 S College St
Ste 3
Mountain Home, AR 72653
Phone (870) 404-0270
120 Highway 201 N
Mountain Home, AR 72653
Phone (870) 421-1924
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Mountain Home, AR
- NPI 1568477123
-
- Physical Therapy Clinic/Center
- Mountain Home, AR
- NPI 1255088381
Physical Therapist
-
- Speech-Language Pathologist
- Mountain Home, AR
- NPI 1649880774
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1255007407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MEDICAL PLZ",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532918",
"telephone_number": "870-424-3400",
"fax_number": "870-424-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MEDICAL PLZ",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532918",
"telephone_number": "870-424-3400",
"fax_number": "870-424-4121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTIER",
"first_name": "SHAUN",
"middle_name": "STUART",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-18",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT5002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAUN",
"last_name": "POTGIETER",
"middle_name": "STUART",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.