Provider Demographics
NPI:1043421720
Name:POTTS, J. CHRISTOPHER (PT, DPT)
Entity Type:Individual
Prefix:
First Name:J.
Middle Name:CHRISTOPHER
Last Name:POTTS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5840 ELLSWORTH AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1727
Mailing Address - Country:US
Mailing Address - Phone:412-363-4050
Mailing Address - Fax:412-357-2456
Practice Address - Street 1:5840 ELLSWORTH AVE STE 302
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1727
Practice Address - Country:US
Practice Address - Phone:412-363-4050
Practice Address - Fax:412-357-2456
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013014L2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic