Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KIP ANTHONY POTTER
NPI 1609629930
Physical Therapist in Columbus, GA

Active since April 08, 2024
106 ENTERPRISE CT STE C, COLUMBUS, GA 31904(706) 221-6448(706) 365-0002 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 16, 2026, Jun 29, 2024, Apr 8, 2024 (3 updates tracked since 2024).

About Kip Anthony Potter NPPES

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

KIP ANTHONY POTTER (NPI 1609629930) is an individual physical therapist in Columbus, Georgia, licensed in Georgia (PT017130) and active in the NPI registry since April 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1609629930
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKIP ANTHONY POTTER
Location Address106 ENTERPRISE CT STE CColumbus, GA 31904-9096
Mailing Address1650 Lyndon Farm Ct Ste 300Louisville, KY 40223-5005 · (951) 335-9825 · Fax (812) 590-8333
Fax(706) 365-0002
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 8, 2024
Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1609629930 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 GA · PT017130
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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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.

106 ENTERPRISE CT STE C, Columbus, GA 31904

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

Kip Anthony Potter 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 ID2769928175
PECOS Enrollment IDI20240722002978, I20260420000677

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
106 ENTERPRISE CT STE C
COLUMBUS, GA 31904
Physical Therapist
106 ENTERPRISE CT STE C
COLUMBUS, GA 31904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609629930, enumerated as an "individual" on April 08, 2024.

The provider is located at 106 ENTERPRISE CT STE C COLUMBUS, GA 31904 and the phone number is (706) 221-6448.

Physical Therapist with taxonomy code 225100000X.