Organization Active NPI

Potential Plus

  • Pediatric Physical Therapist
  • Cartersville, GA
National Provider Identifier
1467586032
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT002558 Issued in GA
Legal business name
POTENTIAL PLUS
Practice address
221 Hamilton Crossing Rd NW
Cartersville, GA 30120-4814
Phone
(770) 382-7248
Fax
(770) 382-3650
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barbara Marvel, PT
Title
Physical Therapist
Phone
(770) 382-7248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X PT002558 GA Primary

Addresses

Primary practice location

221 Hamilton Crossing Rd NW
Cartersville, GA 30120-4814

Mailing address

221 Hamilton Crossing Rd NW
Cartersville, GA 30120-4814
Phone (770) 382-7248

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467586032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 HAMILTON CROSSING RD NW",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301204814",
            "telephone_number": "770-382-7248",
            "fax_number": "770-382-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 HAMILTON CROSSING RD NW",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301204814",
            "telephone_number": "770-382-7248",
            "fax_number": "770-382-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTENTIAL PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARVEL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "770-382-7248",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT002558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.