Susan Beatrice Potter, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Schuylerville, NY
NPI 1467909358 · NPPES record last updated Sep 8, 2016
Key facts
- NPI
- 1467909358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 009083 (NY)
- Practice address
- 384 Rugg Rd
Schuylerville, NY 12871-2020 - Phone
- (518) 695-9256
- NPI assigned
- Sep 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009083 | NY | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 009083 | NY | Yes |
Addresses
Primary practice location
384 Rugg Rd
Schuylerville, NY 12871-2020
Mailing address
384 Rugg Rd
Schuylerville, NY 12871-2020
Phone (518) 695-9256
Other providers in Schuylerville, NY
- Christian Michael McMillan
- Milestones, Occupational Therapy, Physical Therapy, Speech Therap PLLC
- Montefiore Medical Center
- Kristen Peck
- Jeffrey James Piper
- Nicole Rice
- Laura Rickard
- Charity Jacqueline Rushinski
- Saratoga Hospital
- Saratoga Hospital
All providers in Schuylerville, NY · Occupational Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.