Individual provider Active NPI

Sarah Jessica Potter

  • Physical Therapist
  • Atascadero, CA
National Provider Identifier
1699494161
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT302746 Issued in CA
Practice address
3218 El Camino Real
Atascadero, CA 93422-2500
Phone
(805) 462-1110
NPI assigned
Aug 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 PT302746 CA Primary

Addresses

Primary practice location

3218 El Camino Real
Atascadero, CA 93422-2500

Mailing address

4405 Carrizo Rd
Atascadero, CA 93422-1411
Phone (805) 550-8401

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221011001323 CA Practitioner - Physical Therapist in Private Practice 3173909462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Coast Physical Therapy IncGroup PAC ID 1052464625, 3 clinicians

Practice addresses (Care Compare)

3218 El Camino Real
Atascadero, CA 93422-2500
Phone (805) 462-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT302746CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Physical Therapy, Inc. Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Moscardi Physical Therapy, Inc Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Central Coast Physical Therapy, Inc CurrentSince Oct 1, 2022 Accepting new patients

Locations

3218 El Camino Real
Atascadero, CA 93422
Phone (805) 462-1110

1421 Riverside Ave
Paso Robles, CA 93446
Phone (805) 239-1202

911 Oak Park Blvd
Ste 105
Pismo Beach, CA 93449
Phone (805) 349-8972

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17051/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/26381/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1699494161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 CARRIZO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934221411",
            "telephone_number": "805-550-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 EL CAMINO REAL",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934222500",
            "telephone_number": "805-462-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "SARAH",
        "middle_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT302746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.