Individual provider Active NPI

George Potamitis, PT, DPT, MS

  • Physical Therapist
  • Lowell, MA
National Provider Identifier
1871530196
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8425 Issued in MA
Practice address
278 Broadway St
Lowell, MA 01854-4121
Phone
(978) 452-6633
Fax
(978) 446-9750
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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 8425 MA Primary

Addresses

Primary practice location

278 Broadway St
Lowell, MA 01854-4121

Mailing address

278 Broadway St
Lowell, MA 01854-4121
Phone (978) 452-6633

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000175 MA Practitioner - Physical Therapist in Private Practice 8820033541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro Rehab Inc PCGroup PAC ID 0446260244, 3 clinicians

Practice addresses (Care Compare)

278 Broadway St
Lowell, MA 01854-4121
Phone (978) 452-6633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Rehab, Inc, PC Physical Therapist CurrentSince Mar 9, 2006 Accepting new patients

Locations

227 Chelmsford St
Chelmsford, MA 01824
Phone (978) 250-0032

227 Chelmsford St
Ste A
Chelmsford, MA 01824

20 Hurd St
Lowell, MA 01852
Phone (978) 452-6633

278 Broadway St
Lowell, MA 01854
Phone (978) 452-6633

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1871530196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 BROADWAY ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018544121",
            "telephone_number": "978-452-6633",
            "fax_number": "978-446-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 BROADWAY ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018544121",
            "telephone_number": "978-452-6633",
            "fax_number": "978-446-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTAMITIS",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.