MS. MARIANNE RENE POTTS (M.P.T.) – Orthopedic Physical Therapist, NPI 1912138686

MS. MARIANNE RENE POTTS (M.P.T.) is a healthcare provider. based in Santa rosa, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials M.P.T.. They hold a License No. 34356 (CA). The NPI Number for MS. MARIANNE RENE POTTS (M.P.T.) is 1912138686

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARIANNE RENE POTTS (M.P.T.)
NPI
1912138686
Phone
(707) 523-2848
Address
1400 N DUTTON AVE STE 1
Enumeration Date
29 July 2009
Last Update Date
29 July 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7075232848
Graduation Year
2007 (19 years ago)
PAC ID
5294880787
Group Practice PAC ID
6002261088
Professional Enrollment ID
I20090904000474
Address ID
CA954017120SA1400XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for MS. MARIANNE RENE POTTS (M.P.T.)

  • 1400 N DUTTON AVE STE 1

    SANTA ROSA, CA 954017120

    Phone: (707) 523-2848

    Fax: (707) 523-2866

    Mailing address matches the actual address.

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: 2009-09-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090904000474IPhysical Therapist In Private PracticeCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes58753$0
97140Therapy procedure using manual technique, each 15 minutes31136$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes27438$0
97161Evaluation for physical therapy, typically 20 minutes4544$0
97535Training for self-care or home management, each 15 minutes3416$0
View full utilization report →

Insurance plans in this area (ZIP 95401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002261088View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Is MS. MARIANNE RENE POTTS (M.P.T.) listed with a National Provider Identifier?
Yes — MS. MARIANNE RENE POTTS (M.P.T.) has NPI 1912138686 on file in the registry.
Would MS. MARIANNE RENE POTTS (M.P.T.) appear as active to a payer?
You can treat MS. MARIANNE RENE POTTS (M.P.T.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MS. MARIANNE RENE POTTS (M.P.T.)?
MS. MARIANNE RENE POTTS (M.P.T.) is associated with Orthopedic Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is MS. MARIANNE RENE POTTS (M.P.T.) located near Santa Rosa?
MS. MARIANNE RENE POTTS (M.P.T.) currently maps to Santa Rosa, California in this extract.
When was this NPI issued?
Enumeration for MS. MARIANNE RENE POTTS (M.P.T.) is noted as July 29, 2009 where the registry provides it.

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