Kimberly Potter, PT - in Orange Park, FL

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Kimberly Potter, PT is a Specialist/technologist - Athletic Trainer based in Orange Park, Florida. Kimberly Potter is licensed to practice in Florida (license number AL1021) and her current practice location is 540 Kingsley Ave, Orange Park, Florida. She can be reached at her office (for appointments etc.) via phone at (904) 264-2156.

NPI number for Kimberly Potter is 1144311051 and her current mailing address is 405 Inagua Dr, Saint Augustine, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144311051.

Contact Information

Kimberly Potter, PT
540 Kingsley Ave,
Orange Park, FL 32073-4847
(904) 264-2156
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKimberly Potter
GenderFemale
SpecialitySpecialist/technologist - Athletic Trainer
Location540 Kingsley Ave, Orange Park, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144311051
  • Provider Enumeration Date: 09/27/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Kimberly Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144311051NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT20035 (Florida)Primary
2255A2300XSpecialist/technologist - Athletic Trainer AL1021 (Florida)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. Kimberly 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 AddressPractice Location Address
Kimberly Potter, PT
405 Inagua Dr,
Saint Augustine, FL 32095-9613

Ph: (904) 824-6073		Kimberly Potter, PT
540 Kingsley Ave,
Orange Park, FL 32073-4847

Ph: (904) 264-2156

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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