| Mrs Kandi Monique Potter, PT | |
|
201 S Northpark Ln, Joplin, MO 64801-8426 | |
| (417) 623-4313 | |
| (418) 621-0129 |
| Full Name | Mrs Kandi Monique Potter |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 201 S Northpark Ln, Joplin, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720235807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2004015912 (Missouri) | Primary |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558819508 PECOS PAC ID: 5193036432 Enrollment ID: O20161109000544 |
| Provider Name | Empowerme Rehabilitation Missouri Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1417479494 PECOS PAC ID: 9234402470 Enrollment ID: O20170908002930 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083208391 PECOS PAC ID: 9830504836 Enrollment ID: O20210308002804 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kandi Monique Potter, PT 1308a W 16th St, Webb City, MO 64870-3200 Ph: () - | Mrs Kandi Monique Potter, PT 201 S Northpark Ln, Joplin, MO 64801-8426 Ph: (417) 623-4313 |
Ms. Marie Shireman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2727 Mc Clelland Blvd, Joplin, MO 64804 Phone: 417-781-2727 | |
Ma. Estela Lopez Ortaleza, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 E 34th St, Joplin, MO 64804 Phone: 417-781-1737 | |
Mr. Jimmie Joe Wilson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2727 Mc Clelland Blvd, Joplin, MO 64804 Phone: 417-625-2190 Fax: 417-625-2097 | |
Mr. Emmanuel Fernandez, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 214 W 5th St, Suite D & E, Joplin, MO 64801 Phone: 417-782-2917 | |
Trent Moore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1227 E 32nd St, Ste 7, Joplin, MO 64804 Phone: 417-624-7400 Fax: 417-624-7403 | |
Mr. William Ellerd Dierks, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3105 Mc Clelland Blvd, Suite 101, Joplin, MO 64804 Phone: 417-623-5560 Fax: 417-634-5740 | |
Stacy Michelle Jones, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1227 E 32nd St Ste 7, Joplin, MO 64804 Phone: 417-624-7400 Fax: 417-624-7403 |