S. POTTS AND PROFESSIONALS, INC. (NPI# 1245342773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245342773 |
| Entity Type | Organization |
| Organization Name | S. POTTS AND PROFESSIONALS, INC. |
| Other Organization Name | PEDIATRIC THERAPY ASSOCIATES |
| Practice Address |
1248 Austin Hwy Ste 210 San Antonio TX 78209-4867 |
| Practice Telephone | 2106468008 |
| Practice Fax Number | 2106468242 |
| Mailing Telephone | 2106468008 |
| Mailing Fax Number | 2106468242 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | SHARRIE POTTS (OWNER) |
| Authorized Official Telephone | 2106468008 |
| Authorized Official Credential | OTR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | 648850000 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
648850000 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225200000X | Physical Therapy Assistant | 648850000 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
648850000 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 161962901 | 05 | |
| TX | AETNA | 2776569 | 01 |
| Other Name | Type Code |
|---|---|
| Pediatric Therapy Associates | Doing Business As Name - Organization |
| Street Address |
1248 AUSTIN HWY STE 210 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209-4867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922110550 | Heather Elizabeth O'brien | Occupational Therapist | 1248 Austin Hwy Ste 210, San Antonio, TX 78209-4867 | 2006-08-31 |
| 1801419296 | Patricia Victoria Villarreal | Occupational Therapist | 1248 Austin Hwy Ste 210, San Antonio, TX 78209-4867 | 2020-05-20 |
| 1235693516 | Corrigan Patricia Goldsmith | Occupational Therapist | 1248 Austin Hwy Ste 210, San Antonio, TX 78209-4867 | 2019-01-30 |
| 1639645088 | Emily Kaiser | Occupational Therapist | 1248 Austin Hwy Ste 210, San Antonio, TX 78209-4867 | 2018-10-23 |
| 1295242634 | Katherine Moy | Speech-Language Pathologist | 1248 Austin Hwy Ste 210, San Antonio, TX 78209-4867 | 2018-01-08 |
| 1962942052 | Ana Moore | Occupational Therapist | 1248 Austin Hwy Ste 210, San Antonio, TX 78209-4867 | 2017-03-08 |
| 1528406030 | Jose Eugenio Hernandez Jr. | Occupational Therapist | 1248 Austin Hwy Ste 210, San Antonio, TX 78209-4867 | 2013-06-06 |
| 1750726501 | Kelly Beck Doty | Occupational Therapist | 1248 Austin Hwy Ste 210, San Antonio, TX 78209-4867 | 2013-05-07 |
| 1902192552 | Kendyll Layne Lewis | Physical Therapist | 1248 Austin Hwy Ste 210, San Antonio, TX 78209-4867 | 2011-06-22 |
| 1891089439 | Geneva Lopez | Speech-Language Pathologist | 1248 Austin Hwy Ste 210, San Antonio, TX 78209-4867 | 2011-05-31 |
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|---|---|---|---|---|
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| 1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
| 1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
| 1629570106 | Julieta Rubio Hobbs | Counselor | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
| 1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
| 1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
| Find all providers in zip 78209 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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| 1831120336 | University of Texas Health Science Center, San Antonio | Clinic/Center | 8403 Floyd Curl Dr, Mail Code 6243, San Antonio, TX 78229-3904 | 2006-07-05 |
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| 1013464247 | Energy City Medical | Clinic/Center | 9330 Valley Gate, San Antonio, TX 78250-5773 | 2016-09-06 |
| 1548311467 | Us Health Facility Development Corp. | Clinic/Center | 7333 Barlite Blvd, Suite 250, San Antonio, TX 78224-1320 | 2007-01-16 |
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| 1902333792 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 21004 Interstate 45 N, Spring, TX 77373-2917 | 2017-05-11 |
| 1023544418 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 5095 Preston Ave, Pasadena, TX 77505-2053 | 2017-05-04 |
| 1871029264 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 4818 E Sam Houston Pkwy N, Houston, TX 77015-3240 | 2017-05-04 |
| 1356793509 | Individual | Clinic/Center | 3500 Timberwood Cir Apt 2137, Arlington, TX 76015-3129 | 2016-07-11 |
| 1801242839 | Transitional Learning Center At Galveston | Clinic/Center | 4416 10th St, Lubbock, TX 79416-4800 | 2016-05-09 |
| 1225401805 | Milestones | Clinic/Center | 2704 S 26th St, Mcallen, TX 78503-7812 | 2015-11-04 |
| 1326421173 | Costa Therapy Institute, LLC | Clinic/Center | 1058 Palm Blvd, Brownsville, TX 78520-6168 | 2015-06-29 |
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| City | SAN ANTONIO |
| Zip Code | 78209 |
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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.