Individual provider Active NPI

Elizabeth Potter, COTA

  • Occupational Therapy Assistant
  • Chugiak, AK
National Provider Identifier
1861930034
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
102711 Issued in AK
Practice address
22502 Sambar Loop
Chugiak, AK 99567-5377
Phone
(907) 726-4663
Fax
(844) 605-1820
NPI assigned
Feb 7, 2017
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 102711 AK Primary

Addresses

Primary practice location

22502 Sambar Loop
Chugiak, AK 99567-5377

Mailing address

PO Box 672075
Chugiak, AK 99567-2075
Phone (907) 726-4663

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

State licenses

LicenseStateTypeSpecialty
102711AKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Health and Home LLC CurrentSince Mar 24, 2025 Accepting new patients

Locations

1700 E Bogard Rd
Ste A200
Wasilla, AK 99654
Phone (907) 290-9595

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": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1861930034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672075",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995672075",
            "telephone_number": "907-726-4663",
            "fax_number": "844-605-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22502 SAMBAR LOOP",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995675377",
            "telephone_number": "907-726-4663",
            "fax_number": "844-605-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AK",
            "license": "102711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chugiak, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.