Marianne Rene Potts, M.P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

34356 Issued in CA

Practice address

1400 N Dutton Ave Ste 1
Santa Rosa, CA 95401-7120

Phone

(707) 523-2848

Fax

(707) 523-2866

NPI assigned

Jul 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stac Physical Therapy Sonoma IncGroup PAC ID 6002261088, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Stac Physical Therapy Sonoma, Inc.

  • Physical Therapist
  • Santa Rosa, CA
  • NPI 1720707136
  Medicare reassignment Care Compare group
• Todd Joseph Soares, PT

  • Physical Therapist
  • Santa Rosa, CA
  • NPI 1780767541
  Medicare reassignment

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1912138686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N DUTTON AVE STE 1",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954017120",
            "telephone_number": "707-523-2848",
            "fax_number": "707-523-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N DUTTON AVE STE 1",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954017120",
            "telephone_number": "707-523-2848",
            "fax_number": "707-523-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "MARIANNE",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "34356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Leonard Posada
• Post Traumatic Fitness and Rehabilitation Center
• Susana Post, MA
• Rebecca Renee Potter, D.C.
• Jennifer Potthast, ACUPUNCTURIST
• Amir Hassan Pouradib, D.D.S.
• Mersedeh Pouradib, D.D.S
• Roxanna Pourmirzaie
• Neema Pourtaheri, MD
• Alan Lee Powell

• Orthopedic Physical Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.