KIMBERLY POTTER PT
NPI 1144311051
Specialist/Technologist - Athletic Trainer in Orange Park, FL

Q: What is Kimberly Potter's NPI number?

The NPI number for Kimberly Potter is 1144311051. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Kimberly Potter's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Potter was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since September 27, 2006

540 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 264-2156 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Kimberly Potter Pt NPPES

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

KIMBERLY POTTER PT (NPI 1144311051) is an individual athletic trainer provider in Orange Park, Florida, licensed in Florida (AL1021) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1144311051

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameKIMBERLY POTTERCredential: PT

Location Address540 KINGSLEY AVEOrange Park, FL 32073-4847

Mailing Address405 Inagua DrSaint Augustine, FL 32095-9613 · (904) 824-6073

Phone(904) 264-2156

Sole ProprietorNo

Enumeration DateSeptember 27, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1144311051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in FL · AL1021

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Also ListedPhysical TherapistTaxonomy 225100000X · License PT20035 (FL)

540 KINGSLEY AVE, Orange Park, FL 32073

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA GARRETT PTA

Physical Therapy Assistant