Individual provider Active NPI

Lauren Danielle Potter, DPT

  • Physical Therapist
  • Ithaca, NY
National Provider Identifier
1720211485
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031774 Issued in NY
Practice address
2359 N Triphammer Rd
Ithaca, NY 14850-1059
Phone
(607) 257-5009
Fax
(607) 257-9985
NPI assigned
Aug 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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 031774 NY Primary

Addresses

Primary practice location

2359 N Triphammer Rd
Ithaca, NY 14850-1059

Mailing address

2359 N Triphammer Rd
Ithaca, NY 14850-1059
Phone (607) 257-5009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100318000484 NY Practitioner - Physical Therapist in Private Practice 4789719576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Physical Therapy of New York, P.C.Group PAC ID 4284531674, 83 clinicians

Practice addresses (Care Compare)

15 Ellis Dr
Dryden, NY 13053-9630
Phone (607) 844-5653

2359 N Triphammer Rd
Ithaca, NY 14850-1059
Phone (607) 257-5009

285 Delaware Ave
Suite 116
Buffalo, NY 14202-1885
Phone (716) 831-8214

609 W Clinton St
Ithaca, NY 14850-5255
Phone (607) 317-0046

61 W Main St
Trumansburg, NY 14886-9574
Phone (607) 387-7400

Merit-based Incentive Payment System (MIPS)

Final score
95.16 of 100Reported as group
Quality
100
Improvement activities
40
Cost
83.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy of New York, P.C. Physical Therapist CurrentSince Jan 16, 2025 Accepting new patients

Locations

285 Delaware Ave
Ste 116
Buffalo, NY 14202
Phone (716) 381-8214

15 Ellis Dr
Dryden, NY 13053
Phone (607) 244-5653

2359 N Triphammer Rd
Ithaca, NY 14850
Phone (607) 257-3452

Organizations & group practices 1

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": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1720211485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 N TRIPHAMMER RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501059",
            "telephone_number": "607-257-5009",
            "fax_number": "607-257-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 N TRIPHAMMER RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501059",
            "telephone_number": "607-257-5009",
            "fax_number": "607-257-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "LAUREN",
        "middle_name": "DANIELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.