Gwen Elizabeth Potash, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1370 Issued in TN

Practice address

1927 Memorial Blvd
Murfreesboro, TN 37129

Phone

(615) 904-9111

Fax

(615) 867-5223

NPI assigned

Apr 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gwen Gentry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306066428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 GOLDEN VALLEY DR",
            "city": "CHRISTIANA",
            "state": "TN",
            "postal_code": "370376152",
            "telephone_number": "615-893-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 MEMORIAL BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37129",
            "telephone_number": "615-904-9111",
            "fax_number": "615-867-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTASH",
        "first_name": "GWEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "1370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWEN",
            "last_name": "GENTRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lekiesha K Porter, MD
• Teresa Porter, DC
• Verna Porth, NP
• Positive Minds Psychiatry LLC
• Lisa L. Postell
• Megan Ashley Power, PT, DPT
• Cynthia Diane Powers, BCBA
• Katrina Lee Powers, PA-C
• Anita Prak
• Katherine Mullen Prater, FNP-C

• Occupational Therapy Assistant in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Occupational Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.