| Kip Anthony Potter, | |
|
106 Enterprise Ct Ste C, Columbus, GA 31904-9096 | |
| (706) 221-6448 | |
| (706) 365-0002 |
| Full Name | Kip Anthony Potter |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 106 Enterprise Ct Ste C, Columbus, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609629930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT017130 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fox Rehab Pt Al Llc | 6002287802 | 27 |
| Horizons Diagnostics, L.l.c. | 1951399724 | 24 |
| Provider Name | Fox Rehab PT Al LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962128488 PECOS PAC ID: 6002287802 Enrollment ID: O20230113000391 |
| Mailing Address | Practice Location Address |
|---|---|
| Kip Anthony Potter, 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (951) 335-9825 | Kip Anthony Potter, 106 Enterprise Ct Ste C, Columbus, GA 31904-9096 Ph: (706) 221-6448 |
Katherine Hall Mcgilberry, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2515 Double Churches Rd, Columbus, GA 31909 Phone: 706-660-1144 |
Jenny Jett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6298 Veterans Pkwy Ste 5b, Columbus, GA 31909 Phone: 706-225-0380 Fax: 706-225-0390 |
Alicia Elizabeth Hubbard, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1303 Stark Ave, Columbus, GA 31906 Phone: 706-221-6461 |
Allie Morgan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6801 River Rd Ste 302, Columbus, GA 31904 Phone: 706-507-9949 Fax: 706-507-9994 |
Mr. Thomas A Boers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6298 Veterans Pkwy, Suite 5, Columbus, GA 31909 Phone: 706-322-3558 |
Ms. Joanne C Oconnor, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6298 Veterans Parkway, Suite 5a, Columbus, GA 31908 Phone: 706-320-7762 |
Wonderfully Made Women's Health Physical Therapy & Wellness, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8210 Lallarook Dr, Columbus, GA 31909 Phone: 432-853-8530 |