Home Health Services, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

3297 Issued in AZ

Legal business name

HOME HEALTH SERVICES, PLLC

Doing business as

Midstate Physical Therapy

Practice address

19375 E. Oasis
Black Canyon City, AZ 85324

Phone

(623) 363-8691

NPI assigned

Jan 19, 2016

Last updated

Jan 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gregg Wesley Potter, P.T.NPI 1710980487

Title

Licensed Physical Therapist

Phone

(623) 363-8691

Specialties & licenses 1

Addresses

Other names 1

• Midstate Physical Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregg Wesley Potter, PT, MPT

  • Physical Therapist
  • Black Canyon City, AZ
  • NPI 1710980487
  NPD (past) Authorized official

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1356708655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 W AIDAN LN",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863773",
            "telephone_number": "623-363-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19375 E. OASIS",
            "city": "BLACK CANYON CITY",
            "state": "AZ",
            "postal_code": "85324",
            "telephone_number": "623-363-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "LICENSED PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "623-363-8691",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "3297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midstate Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marci Brown-Gilpin, LCSW
• Canon Elementary School District
• Canyon Medical Clinic LLC
• Emd Medical Services LLC (Cherry Family Practice)
• Randy Charles Hancock, DO
• Andrea Kay Irving, D.O.
• Paw Kamwee, N.M.D
• Joshua Cheol-Hong Kim, D.O.
• Elli Klinger
• Kevin Carl Krause

• Physical Therapy Clinic/Center in Black Canyon City, AZ
• Providers in Black Canyon City, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.