Tara M. Potter, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011295 Issued in OH

Practice address

4030 Smith Rd Ste 50
Cincinnati, OH 45209-1968

Phone

(513) 631-1988

Fax

(513) 631-3456

NPI assigned

Sep 13, 2006

Last updated

Apr 1, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Oxford Physical Therapy and Rehabilitation

  • Physical Therapist
  • Mason, OH
  • NPI 1326126061
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1679678858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 YATZ DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173286",
            "telephone_number": "853-341-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 SMITH RD STE 50",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091968",
            "telephone_number": "513-631-1988",
            "fax_number": "513-631-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "TARA",
        "middle_name": "M.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT011295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0214940",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianne Janay Potter, PHARMD, RPH
• Darby A Potter
• Essatarica Potter
• Jennifer Potter, PHD
• Lequita Potter, LSW, LCDC III
• Carol T Potterton, LISW
• Ashleigh Pottinger, RN
• McKenzie Pottorf
• Heather M Potts
• Kelsie Potts

• Physical Therapist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.