Mr Gregg Wesley Potter, PT, MPT is a
Physical Therapist based in Black Canyon City, Arizona. Mr Gregg Wesley Potter is licensed to practice in Arizona (license number 3297) and his current practice location is
34301 S Old Black Canyon Hwy Ste 7, Black Canyon City, Arizona. He can be reached at his office (for appointments etc.) via phone at
(623) 363-8691.
NPI number for Mr Gregg Wesley Potter is 1710980487 and his current mailing address is Po Box 1515, Black Canyon City, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710980487.
Healthcare Provider's Profile
| Full Name | Mr Gregg Wesley Potter |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 34301 S Old Black Canyon Hwy Ste 7, Black Canyon City, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710980487
- Provider Enumeration Date: 05/24/2005
- Last Update Date: 02/05/2017
Medical Identifiers
Medical identifiers for Mr Gregg Wesley Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710980487 | NPI | - | NPPES |
| 331041 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 3297 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gregg Wesley Potter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Gregg Wesley Potter, PT, MPT Po Box 1515, Black Canyon City, AZ 85324-1515 Ph: (623) 363-8691 | Mr Gregg Wesley Potter, PT, MPT 34301 S Old Black Canyon Hwy Ste 7, Black Canyon City, AZ 85324-9728 Ph: (623) 363-8691 |
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