MEDICARE: J. CHRISTOPHER POTTS PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	PT013014L	PA

General Provider Information

NPI Number	:	1043421720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	J. CHRISTOPHER POTTS PT, DPT

Provider Business Mailing Address
First Line	:	5840 ELLSWORTH AVE STE 302
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1727
Country	:	US
Telephone Number	:	412-363-4050
Fax Number	:	412-357-2456

Provider Business Practice Location Address
First Line	:	5840 ELLSWORTH AVE STE 302
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1727
Country	:	US
Telephone Number	:	412-363-4050
Fax Number	:	412-357-2456

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	04/12/2016

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