JACKIE POTTER (NPI# 1063934057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063934057 |
| Entity Type | Individual |
| Full Name | JACKIE POTTER |
| Practice Address |
3864 Sweeten Creek Rd Arden NC 28704-3136 |
| Practice Telephone | 8286810904 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | A3921 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407241730 | Jackie Potter | Occupational Therapy Assistant | 1429 State Route 1203, Bardwell, KY 42023-9034 | 2015-04-02 |
| Street Address |
3864 SWEETEN CREEK RD |
| City | ARDEN |
| State | NC |
| Zip Code | 28704-3136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255379293 | Oaks At Sweeten Creek Healthcare | Skilled Nursing Facility | 3864 Sweeten Creek Rd, Arden, NC 28704-3136 | 2006-06-03 |
| 1548801137 | Brandon Waynell Thompson | Physical Therapy Assistant | 3864 Sweeten Creek Rd, Arden, NC 28704-3136 | 2019-10-04 |
| 1699267773 | Monica-hisano Gustafson Galloway | Occupational Therapy Assistant | 3864 Sweeten Creek Rd, Arden, NC 28704-3136 | 2018-06-04 |
| 1164928735 | Jennifer Green Cady | Speech-Language Pathologist | 3864 Sweeten Creek Rd, Arden, NC 28704-3136 | 2018-04-03 |
| 1720500267 | Lindsey Nicole Denman | Speech-Language Pathologist | 3864 Sweeten Creek Rd, Arden, NC 28704-3136 | 2017-07-15 |
| 1215459904 | Kathleen Holfolter | Occupational Therapy Assistant | 3864 Sweeten Creek Rd, Arden, NC 28704-3136 | 2017-07-13 |
| 1447611728 | Genesis Healthcare | Clinic/Center | 3864 Sweeten Creek Rd, Arden, NC 28704-3136 | 2016-03-14 |
| 1871972125 | Abby Vinyard | Occupational Therapy Assistant | 3864 Sweeten Creek Rd, Arden, NC 28704-3136 | 2015-05-20 |
| 1184035636 | Lauren Irene Fisher | Occupational Therapist | 3864 Sweeten Creek Rd, Arden, NC 28704-3136 | 2014-05-17 |
| 1275887796 | Carol Robin Hilow Harty | Physical Therapist | 3864 Sweeten Creek Rd, Arden, NC 28704-3136 | 2012-11-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801410949 | Lindsey Marie Gates | Dentist | 226 New Airport Rd Ste 30, Arden, NC 28704 | 2020-06-04 |
| 1669025565 | Casey Cho Dds Pllc | Dentist | 150 Airport Rd. Suite 30, Arden, NC 28704 | 2019-07-19 |
| 1700370913 | Eric Seth Shapiro | Chiropractor | 32 Southwicke Dr, Arden, NC 28704 | 2018-06-20 |
| 1285180406 | Adam Herbst | Physical Therapy Assistant | 101 Roberts Lake Circle Apt 105, Arden, NC 28704 | 2016-08-28 |
| 1760820013 | Dove Shoneman | Acupuncturist | 600 Julian Lane, Suite 660, Arden, NC 28704 | 2013-06-10 |
| 1710288378 | Higher Ground Pediatric Therapy, Pllc | Community/Behavioral Health | 3749 Sweeten Creek Road Suites 1-2, Arden, NC 28704 | 2010-11-12 |
| 1962642868 | Pandora M Hodge | Physician Assistant | 436 Airport Road, Suite 20, Arden, NC 28704 | 2009-03-05 |
| 1710135009 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 60 Airport Rd., Asheville, NC 28704 | 2008-08-29 |
| 1679732598 | Patty Ann Dalton | Social Worker | 126 Locust Court, Arden, NC 28704 | 2008-06-05 |
| 1053501783 | Roger A Wallace | Psychologist | 410 Mills Gap Rd., Arden, NC 28704 | 2007-07-30 |
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| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285180406 | Adam Herbst | Physical Therapy Assistant | 101 Roberts Lake Circle Apt 105, Arden, NC 28704 | 2016-08-28 |
| 1568710622 | Carrieann Weber Highley | Physical Therapy Assistant | 197 Laurel Rd, Arden, NC 28704-2854 | 2012-08-21 |
| 1346534708 | Joseph Ronald Roddenberry | Physical Therapy Assistant | 123 Sunny Meadows Blvd, Arden, NC 28704-8824 | 2011-06-02 |
| 1548801137 | Brandon Waynell Thompson | Physical Therapy Assistant | 3864 Sweeten Creek Rd, Arden, NC 28704-3136 | 2019-10-04 |
| 1437429024 | Carol Julie Haney | Physical Therapy Assistant | 3864 Sweeten Creek Rd, Arden, NC 28704-3136 | 2012-01-12 |
| 1306116918 | Steven Miller | Physical Therapy Assistant | 3864 Sweeten Creek Rd, Arden, NC 28704-3136 | 2012-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150094 | Kimberly Elizabeth Culler | Physical Therapy Assistant | 836 Winestone Ct, Greenville, NC 27858-9005 | 2020-09-27 |
| 1154934727 | Sreto Duric | Physical Therapy Assistant | 3863 Robbins Brook Dr, Winston Salem, NC 27107 | 2020-08-24 |
| 1063022515 | Ramachandran Pichamuthu | Physical Therapy Assistant | 3635 Eastover Ridge Dr Apt Unit1521, Charlotte, NC 28211-1595 | 2020-08-08 |
| 1548884380 | Mckenzie Ann Bauman | Physical Therapy Assistant | 25022 Matton Grove Church Rd, Gold Hill, NC 28071-6641 | 2020-06-06 |
| 1073137410 | Origin Rehabilitation, LLC | Physical Therapy Assistant | 13021 Saddletree Ct, Matthews, NC 28105-3927 | 2020-06-02 |
| 1700415205 | Marcella Eubanks | Physical Therapy Assistant | Rdl Therapeutic Outpatient Therapy, 424 Mcarthur Rd, Fayetteville, NC 28311 | 2020-04-06 |
| 1831722552 | Alexander Scott Emery | Physical Therapy Assistant | 111 Knox Way Ste 112, Chapel Hill, NC 27516-6615 | 2020-02-20 |
| 1083245880 | Heather D Baccus | Physical Therapy Assistant | 626 Swing Gate Rd, Hertford, NC 27944-8771 | 2020-01-30 |
| 1033755012 | Iris Kay Lovett | Physical Therapy Assistant | 12030 Elizabeth Madison Ct, Charlotte, NC 28277-6130 | 2019-11-25 |
| 1255989414 | Amy Utley | Physical Therapy Assistant | Pro Motion Rehab, 2810 W Us-64 Suite 1, Murphy, NC 28906 | 2019-08-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.