Susan F. Pimentel-Potamitis, BSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6871 Issued in MA

Practice address

278 Broadway St
Lowell, MA 01854-4121

Phone

(978) 452-6633

Fax

(978) 935-2741

NPI assigned

Feb 20, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro Rehab Inc PCGroup PAC ID 0446260244, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pro Rehab, Inc, PC

  • Physical Therapist
  • Lowell, MA
  • NPI 1497880215
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1669712121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 RIVER RD",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102412",
            "telephone_number": "978-208-0095",
            "fax_number": "978-935-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 BROADWAY ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018544121",
            "telephone_number": "978-452-6633",
            "fax_number": "978-935-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL-POTAMITIS",
        "first_name": "SUSAN",
        "middle_name": "F.",
        "name_prefix": "Mrs.",
        "credential": "BSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "6871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Pierce-Conwell, NP
• Dave Dominique Pierre Louis
• Juliette Pieslak, MS, CCC-SLP
• Brian John Pietrantonio, O.D.
• Matthew Pike
• Maricelys Pimentel, BA
• Donna J Pinard
• Rebecca Pincott
• Pine Chiropractic
• Elena Pineau, MASTERS DEGREE

• Physical Therapist in Lowell, MA
• Providers in Lowell, MA by specialty
• Physical Therapist in Massachusetts

• 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.