Active NPI
Paul D Potter, M.S., P.T.
- Physical Therapist
- Germantown, MD
National Provider Identifier
1447313143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19490
- Practice address
- 13900 Bromfield Rd
Germantown, MD 20874-2293 - Phone
- (301) 601-4830
- NPI assigned
- Dec 18, 2006
- 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 | 19490 | MD | Primary |
Addresses
Primary practice location
13900 Bromfield Rd
Germantown, MD 20874-2293
Mailing address
6951 Cable Dr
Marriottsville, MD 21104-1143
Phone (410) 795-1164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19490 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447313143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6951 CABLE DR",
"city": "MARRIOTTSVILLE",
"state": "MD",
"postal_code": "211041143",
"telephone_number": "410-795-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13900 BROMFIELD RD",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742293",
"telephone_number": "301-601-4830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "PAUL",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "M.S., P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "19490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- 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.