David J Potucek, MSPT, CFMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0007569 Issued in CT

Practice address

1300 Post Rd Ste 210
Fairfield, CT 06824-6038

Phone

(203) 557-9111

Fax

(203) 601-7110

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

Yes

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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.

• Manual Therapy Specialists

  • Physical Therapy Clinic/Center
  • Fairfield, CT
  • NPI 1477197747
  NPD Authorized official
• Restore Physical Therapy

  • Orthopedic Physical Therapist
  • New Canaan, CT
  • NPI 1518630078
  NPD
• Advanced Health Professionals

  • Chiropractor
  • Bridgeport, CT
  • NPI 1144236662
  NPD (past)
• Advanced Health Sports & Occupation

  • Chiropractor
  • Stamford, CT
  • NPI 1154337707
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1720168545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 GEORGETOWN RD",
            "city": "WESTON",
            "state": "CT",
            "postal_code": "068831234",
            "telephone_number": "203-305-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 POST RD STE 210",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246038",
            "telephone_number": "203-557-9111",
            "fax_number": "203-601-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTUCEK",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MSPT, CFMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "0007569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ari T Pollack, M.D.
• Lazaro N Pomeraniec, MD
• Kathryn Porri
• Deborah Lynne Portnay, LCSW
• Joseph Louis Poswinski, LCSW
• Stephen Miguel Pou, DDS
• Dana J Power-Lewis, APRN, MSN, FNP-BC
• Clare Powers, LPC
• Jennifer Powers, DPT
• Preneta Physical Therapy, PC

• Physical Therapist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.