PAUL W POTOS PT
NPI 1487676870
Physical Therapist in Shorewood, WI

Active since July 24, 2006Accepts Medicare Assignment
3840 N OAKLAND AVE, SHOREWOOD, WI 53211(414) 962-8480(414) 962-8476 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul W Potos Pt NPPES

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

PAUL W POTOS PT (NPI 1487676870) is an individual physical therapist in Shorewood, Wisconsin, licensed in Wisconsin (4570-024) and active in the NPI registry since July 2006. He is a graduate of Other (1993).

NPPES Registry Identity

NPI1487676870
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NamePAUL W POTOSCredential: PT
Location Address3840 N OAKLAND AVEShorewood, WI 53211-2239
Mailing Address1300 S Green Bay Rd Ste 205Mount Pleasant, WI 53406-4469 · (262) 898-3930 · Fax (262) 321-0242
Fax(414) 962-8476
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 9, 2021
NPPES CertifiedJuly 9, 2021
NPI 1487676870 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
License Licensed in WI · 4570-024
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.
3840 N OAKLAND AVE, Shorewood, WI 53211

Other Identifiers 1

Medicaid40347400WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Paul W Potos Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981794872
PECOS Enrollment IDI20071215000022

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%21 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

Physical Therapist
3840 N OAKLAND AVE
MILWAUKEE, WI 53211
Clinic/Center (Rehabilitation)
3840 N OAKLAND AVE
SHOREWOOD, WI 53211

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 Paul Potos's NPI number?

The NPI number for Paul Potos is 1487676870. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Paul Potos located?

Paul Potos practices at 3840 N Oakland Ave, Shorewood, WI 53211. The listed phone number is (414) 962-8480.

What is Paul Potos's specialty?

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

Is Paul Potos enrolled in Medicare?

Yes. Paul Potos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Potos accept?

Health plans from Anthem Blue Cross and Blue Shield list Paul Potos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Potos was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.