SUZANNE D POTTER (DPT) – Physical Therapist, NPI 1104135086
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA
Provider Addresses for SUZANNE D POTTER (DPT)
1106 WALNUT ST
SUITE 110
SAN LUIS OBISPO, CA 934012416
Phone: (805) 788-0805
Fax: (805) 788-0845
Type: Mailing
805 AEROVISTA PL STE 104
SAN LUIS OBISPO, CA 934017921
Phone: (805) 543-7771
Fax: (805) 543-7761
Type: Location
140 POINT JUDITH RD STE 47
NARRAGANSETT, RI 028823477
Phone: (401) 789-2077
Fax: (877) 515-9767
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-03-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110301000473 | I | Physical Therapist In Private Practice | RI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 93401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | RI | |
| Physical Therapist In Private Practice | RI | |
| Physical Therapist In Private Practice | RI | |
| Physical Therapist In Private Practice | RI | |
| Physical Therapist In Private Practice | RI |
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