Healthcare Provider Details

I. General information

NPI: 1043421720
Provider Name (Legal Business Name): J. CHRISTOPHER POTTS PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 04/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5840 ELLSWORTH AVE STE 302
PITTSBURGH PA
15232-1727
US

IV. Provider business mailing address

5840 ELLSWORTH AVE STE 302
PITTSBURGH PA
15232-1727
US

V. Phone/Fax

Practice location:
  • Phone: 412-363-4050
  • Fax: 412-357-2456
Mailing address:
  • Phone: 412-363-4050
  • Fax: 412-357-2456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT013014L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: