Susan J Potter, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P1 60040990 Issued in WA

Practice address

710 N 39TH Ave
Yakima, WA 98902-6342

Phone

(509) 248-4102

NPI assigned

Mar 9, 2011

Last updated

Mar 9, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1700184165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 CONRAD AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989025276",
            "telephone_number": "509-453-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N 39TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026342",
            "telephone_number": "509-248-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P1 60040990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron Poplyk, CRNA
• Brooklyn Jean Porter
• Holly Porter, LMHC
• Maria D. Portillo, BA/AAC
• Juan M Potes, MD
• Denise J Potts-Ray, L.M.P.
• Sara Mirani Pournia, M.D.
• Gretchen N Powell, LMP
• Jami Powell
• John Dewayne Powell, CRNA

• Physical Therapy Assistant in Yakima, WA
• Providers in Yakima, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.