Jennifer Eileen Potts, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9545 Issued in WA

Practice address

615 Snow Ave
Richland, WA 99352-3851

Phone

(509) 967-6063

Fax

(509) 942-2443

NPI assigned

Oct 11, 2012

Last updated

Oct 11, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Richland School District

  • Local Education Agency (LEA)
  • Richland, WA
  • NPI 1174635783
  NPD (past)

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1922350156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SNOW AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523851",
            "telephone_number": "509-967-6063",
            "fax_number": "509-942-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SNOW AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523851",
            "telephone_number": "509-967-6063",
            "fax_number": "509-942-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "JENNIFER",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "9545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Kent Porter, PHYSICIAN ASSISTANT
• Paige Porter
• Sydney Porter, PA-C
• Seetharam Reddy Pothi Reddy, MD
• Heather M Potter, PA-C
• Michael Andrew Potts
• Poulson Counseling PLLC
• Mary Jane Poulson, MA, NCC, LMHC, LPC
• Eric Scott Powell, DDS
• Richard Kelly Powelson, LMHC

• Physical Therapist in Richland, WA
• Providers in Richland, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.