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Physician Compare National (NPI:1043421720)

HEALTHCARE PROVIDER: J. CHRISTOPHER POTTS PT, DPT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1043421720
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4284784554
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090608000308
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name POTTS
Individual professional last name
Provider First Name J.CHRISTOPHER
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1999
Individual professional's medical school graduation year
Primary Specialty PHYSICAL THERAPY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 5840 ELLSWORTH AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 302
Group Practice or individual's line 2 address
City PITTSBURGH
Group Practice or individual's city
State PA
Group Practice or individual's state
Zip Code 152321727
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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