POTENTIA THERAPEUTICS, LLC
NPI 1063910982
Physical Therapist in Tampa, FL

Active since January 25, 2018
2307 S DALE MABRY HWY STE F, TAMPA, FL 33629(813) 374-9508(813) 443-5599 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Potentia Therapeutics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POTENTIA THERAPEUTICS, LLC (NPI 1063910982) is a healthcare organization registered as a physical therapist in Tampa, Florida and active in the NPI registry since January 2018. The organization lists Sherrice Broussard Rose, Owner, as its authorized official.

NPPES Registry Identity

NPI1063910982
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePOTENTIA THERAPEUTICS, LLC
Location Address2307 S DALE MABRY HWY STE FTampa, FL 33629-6322
Mailing Address2307 S Dale Mabry Hwy Ste FTampa, FL 33629-6322
Fax(813) 443-5599
Organization SubpartNo
Authorized OfficialSherrice Broussard RoseOwner · (813) 374-9508
Enumeration DateJanuary 25, 2018
Last NPPES UpdateApril 30, 2018
✔ NPI 1063910982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2307 S DALE MABRY HWY STE F, Tampa, FL 33629

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Potentia Therapeutics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Potentia Therapeutics, LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Physical Therapist in Private Practice16
Occupational Therapist in Private Practice2
Physical Medicine and Rehabilitation1

Clinicians, nearest first (19)

Physical Therapist in Private Practice
NPI 1396174017
2307 S DALE MABRY HWY STE F
Tampa, FL 33629
(813) 374-9508
Same address
Physical Therapist in Private Practice
NPI 1669015806
2307 S DALE MABRY HWY STE F
Tampa, FL 33629
(813) 374-9508
Same address
Occupational Therapist in Private Practice
NPI 1164762803
2307 S DALE MABRY HWY STE F
Tampa, FL 33629
(813) 374-9508
Same address
Physical Therapist in Private Practice
NPI 1407929359
2307 S DALE MABRY HWY STE F
Tampa, FL 33629
(813) 374-9508
Same address
Physical Therapist in Private Practice
NPI 1922986058
2307 S DALE MABRY HWY STE F
Tampa, FL 33629
(813) 777-7825
Same address
Physical Therapist in Private Practice
NPI 1184229940
2307 SOUTH DALE MABRY HIGHWAY SUITE F
Tampa, FL 33629
(813) 374-9508
Same address
Physical Therapist in Private Practice
NPI 1275811960
2307 S DALE MABRY HWY STE F
Tampa, FL 33629
(813) 374-9508
Same address
Physical Therapist in Private Practice
NPI 1649829003
3416 S DALE MABRY HWY
Tampa, FL 33629
(813) 837-3060
0.8 mi
Physical Therapist in Private Practice
NPI 1952351058
602 S HOWARD AVE
Tampa, FL 33606
(813) 253-2406
1.7 mi
Physical Therapist in Private Practice
NPI 1659626372
909 N DALE MABRY HWY
Tampa, FL 33609
(813) 978-9700
1.9 mi
Physical Therapist in Private Practice
NPI 1508528936
3903 NORTHDALE BLVD STE 111W
Tampa, FL 33624
(813) 418-7350
✔ Accepts Medicare12 mi
Occupational Therapist in Private Practice
NPI 1437185113
305 E BRANDON BLVD
Brandon, FL 33511
(813) 657-8448
14 mi
Physical Therapist in Private Practice
NPI 1275770448
3488 EAST LAKE RD SUITE 302
Palm Harbor, FL 34685
(727) 786-1996
15 mi
Physical Therapist in Private Practice
NPI 1922729219
2595 TAMPA RD STE V&W
Palm Harbor, FL 34684
(727) 712-1567
17 mi
Physical Therapist in Private Practice
NPI 1164060174
7101 MLK JR ST N
St Petersburg, FL 33702
(727) 527-7231
22 mi
Physical Therapist in Private Practice
NPI 1083909006
2783 SW 87TH DR SUITE 102
Gainesville, FL 32608
(352) 505-6665
117 mi
Physical Therapist in Private Practice
NPI 1235368028
50 S OLD DIXIE HWY SUITE 1A
Jupiter, FL 33458
(561) 575-4770
163 mi
Physical Therapist in Private Practice
NPI 1871714998
550 EASTGATE DR
Aiken, SC 29803
(803) 643-3694
388 mi
Physical Medicine and Rehabilitation
NPI 1194244277
350 NEW FIDELITY CT
Garner, NC 27529
(919) 258-2714
✔ PECOS583 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Potentia Therapeutics, LLC's NPI number?

The NPI number for Potentia Therapeutics, LLC is 1063910982. It was assigned to this organization in the NPPES registry on January 25, 2018.

Where is Potentia Therapeutics, LLC located?

Potentia Therapeutics, LLC is located at 2307 S Dale Mabry Hwy Ste F, Tampa, FL 33629. The listed phone number is (813) 374-9508.

What is Potentia Therapeutics, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Potentia Therapeutics, LLC enrolled in Medicare?

Yes. Potentia Therapeutics, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Potentia Therapeutics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 3 Medicare specialties reassign their Medicare billing to Potentia Therapeutics, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (16), Occupational Therapist in Private Practice (2) and Physical Medicine and Rehabilitation (1). Of these, 7 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Potentia Therapeutics, LLC was last updated on April 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.