Michael Blaine Potts

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15631 Issued in TN

Practice address

2865 E Main St
Humboldt, TN 38343-3070

Phone

(731) 784-8405

NPI assigned

Jun 4, 2024

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Health Solutions, PLLCGroup PAC ID 2567958838, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Health Solutions, PLLC

  • Physical Therapist
  • Milan, TN
  • NPI 1538042437
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1336980242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 PLANER DR",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383581526",
            "telephone_number": "731-487-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 E MAIN ST",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433070",
            "telephone_number": "731-784-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "MICHAEL",
        "middle_name": "BLAINE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Marisa Patton, LCSW, ED.D
• Justin Perry
• Sandi Peterson, COTA/L
• Megan Latimer Phillips, PA-C
• Brent Pierce, PHARMD.
• Allie Renee Privitt
• Professional Eyecare Associates and Optical PLLC
• Purihin Clinic-P. C.
• Rainbow Pediatric PC
• Tina Louise Witcher Resneck, LMHC

• Physical Therapist in Humboldt, TN
• Providers in Humboldt, TN by specialty
• Physical Therapist in Tennessee

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