Individual provider Active NPI

Danielle Christine Potts, DPT

  • Physical Therapist
  • Chattanooga, TN
National Provider Identifier
1265800072
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10489 Issued in TN
Practice address
2158 Northgate Park LN Ste 200
Chattanooga, TN 37415-6911
Phone
(423) 254-5461
Fax
(800) 385-7439
NPI assigned
Sep 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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 10489 TN Primary

Addresses

Primary practice location

2158 Northgate Park LN Ste 200
Chattanooga, TN 37415-6911

Mailing address

PO Box 536826
Pittsburgh, PA 15253-6800
Phone (616) 356-5000

Other practice location 1

2177 Northpoint Blvd Ste 101
Hixson, TN 37343-8008
Phone (423) 870-1289

Other practice location 2

313 Manufacturers Rd Ste C215
Chattanooga, TN 37405-3274
Phone (423) 254-5461

Other practice location 3

1736 Gunbarrel Rd Ste B
Chattanooga, TN 37421-3127
Phone (423) 894-9893

Other names 1

  • Danielle Christine Wisse Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190926001371 TN Practitioner - Physical Therapist in Private Practice 9032428883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Rehabilitation and SportsGroup PAC ID 1759481559, 53 clinicians

Practice addresses (Care Compare)

2158 Northgate Park LN
Suite 200
Chattanooga, TN 37415-6911
Phone (423) 254-5461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10489TNMDGeneral Practice Dentistry
10489ALMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Rehabilitation and Sports Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Agilitas USA Inc CurrentSince Jun 17, 2019 Accepting new patients
Excel Rehabilitation and Sports Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Chattanooga Spine & Sport Physical Therapist Past Accepting new patients
Agilitas USA, Inc Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2158 Northgate Park Ln
Ste 200
Chattanooga, TN 37415
Phone (423) 254-5461

1700 Broad St
Ste 120
Chattanooga, TN 37408
Phone (423) 254-5461

313 Manufacturers Rd
Ste C215
Chattanooga, TN 37405
Phone (423) 254-5461

7443 Commons Blvd
Ste 112
Chattanooga, TN 37421
Phone (423) 254-5461

862 Callen Ln NW
Ste 100
Cleveland, TN 37312
Phone (423) 254-5461

800 Crescent Centre Dr
Ste 600
Franklin, TN 37067
Phone (615) 416-0199

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1265800072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536826",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152536800",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 NORTHGATE PARK LN STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156911",
            "telephone_number": "423-254-5461",
            "fax_number": "800-385-7439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2177 Northpoint Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373438008",
            "country_code": "US",
            "telephone_number": "423-870-1289",
            "fax_number": "423-877-6861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 Manufacturers Rd Ste C215",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374053274",
            "country_code": "US",
            "telephone_number": "423-254-5461",
            "fax_number": "800-385-7439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1736 Gunbarrel Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374213127",
            "country_code": "US",
            "telephone_number": "423-894-9893",
            "fax_number": "423-894-0992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTS",
        "first_name": "DANIELLE",
        "middle_name": "CHRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "WISSE",
            "middle_name": "CHRISTINE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.

Verify at the official NPI Registry.