Marina Lynn Potts, PT, DPT
Individual provider Active NPI Physical Therapist · Olive Branch, MS
NPI 1801599253 · NPPES record last updated Mar 24, 2023
Key facts
- NPI
- 1801599253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 7461 (MS)
- Practice address
- 6760 Goodman Rd Ste 115
Olive Branch, MS 38654-7056 - Phone
- (901) 507-5566
- NPI assigned
- Mar 24, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Campbell Clinic, PC
Practice addresses (Care Compare)
6760 Goodman Rd
Suite 110
Olive Branch, MS 38654-7056
Phone (901) 759-3100
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.09 of 100
- Quality
- 50.47
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 67.33
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230501000009 | MS | Practitioner - Physical Therapist in Private Practice | 4880059641 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7461 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell Clinic PC | Current |
Accepting new patients | |
| Campbell Clinic, PC | Current |
Accepting new patients | |
| CC Bpci PLC | Past | Accepting new patients |
Locations
6760 Goodman Rd
Ste 110
Olive Branch, MS 38654
7545 Airways Blvd
Southaven, MS 38671
Phone (901) 759-3196
1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111
Interoperability endpoints
- marina.potts.1@1366.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7461 | MS | Yes |
Addresses
Primary practice location
6760 Goodman Rd Ste 115
Olive Branch, MS 38654-7056
Mailing address
2875 Layne Dr
Olive Branch, MS 38654-1192
Phone (901) 605-4986
Other providers in Olive Branch, MS
- Nicholas Morrell Pierce
- Cindy R Pipkin
- Play Fabulous
- Dalton C Plumlee
- Darla Poole
- Precision Genomics LLC
- Precision Life Sciences LLC
- Prime Foot Care, PLLC
- Dovie Christine Pryor
- Pure Light Psychiatry LLC
All providers in Olive Branch, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.