Active NPI
David P Potena, PT, M.ED.
- Physical Therapist
- Cleona, PA
National Provider Identifier
1497895239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT005829L
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potena Physical Therapy Inc | Physical Therapist | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Cleona, PA
- NPI 1538153507
PA, Physical Therapist
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.