Active NPI
Julie Alyssa Potts, OTR/L
- Occupational Therapist
- Indianapolis, IN
National Provider Identifier
1770060519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31006250A
- Practice address
- 4851 Tincher Rd
Indianapolis, IN 46221-3780 - Phone
- (317) 856-4851
- NPI assigned
- Jul 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31006250A | IN | Primary |
Addresses
Primary practice location
4851 Tincher Rd
Indianapolis, IN 46221-3780
Mailing address
10816 Gathering Dr
Indianapolis, IN 46259-7739
Phone (317) 627-3441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1770060519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10816 GATHERING DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462597739",
"telephone_number": "317-627-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4851 TINCHER RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462213780",
"telephone_number": "317-856-4851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTS",
"first_name": "JULIE",
"middle_name": "ALYSSA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-24",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31006250A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.