Individual provider Active NPI

David P Potena, PT, M.ED.

  • Physical Therapist
  • Cleona, PA
National Provider Identifier
1497895239
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT005829L Issued in PA
Practice address
32 W Penn Ave
Cleona, PA 17042-3201
Phone
(717) 270-6078
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT005829L PA Primary

Addresses

Primary practice location

32 W Penn Ave
Cleona, PA 17042-3201

Mailing address

32 W Penn Ave
Cleona, PA 17042-3201
Phone (717) 270-6078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110120000092 PA Practitioner - Physical Therapist in Private Practice 5991984197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potena Physical Therapy Inc 2 clinicians

Practice addresses (Care Compare)

32 W Penn Ave
Cleona, PA 17042-3201
Phone (717) 270-6078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Potena Physical Therapy Inc Physical Therapist CurrentSince Jun 1, 1997 Accepting new patients

Locations

32 W Penn Ave
Cleona, PA 17042
Phone (717) 270-6078

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1497895239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 W PENN AVE",
            "city": "CLEONA",
            "state": "PA",
            "postal_code": "170423201",
            "telephone_number": "717-270-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W PENN AVE",
            "city": "CLEONA",
            "state": "PA",
            "postal_code": "170423201",
            "telephone_number": "717-270-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTENA",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT, M.ED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005829L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.