Individual provider Active NPI

Elena Angelita Potter, DPT

  • Physical Therapist
  • Pocatello, ID
National Provider Identifier
1740172121
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7171163 Issued in ID
Practice address
1033 W Quinn Rd
Pocatello, ID 83202-2425
Phone
(208) 233-4800
NPI assigned
Jul 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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 7171163 ID Primary

Addresses

Primary practice location

1033 W Quinn Rd
Pocatello, ID 83202-2425

Mailing address

1033 W Quinn Rd
Pocatello, ID 83202-2425

Other names 1

  • Elena Angelita Yadon Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250908000735 ID Practitioner - Physical Therapist in Private Practice 5193227221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadowland Therapy IncGroup PAC ID 1254518640, 4 clinicians

Practice addresses (Care Compare)

1033 W Quinn Rd
Pocatello, ID 83202-2425
Phone (208) 233-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7171163IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowland Therapy Inc Physical Therapist CurrentSince Jul 18, 2025 Accepting new patients

Locations

1033 W Quinn Rd
Pocatello, ID 83202
Phone (208) 233-4800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1740172121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 W QUINN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832022425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 W QUINN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832022425",
            "telephone_number": "208-233-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "ELENA",
        "middle_name": "ANGELITA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "7171163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "YADON",
            "middle_name": "ANGELITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.