Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dane Erick Potochny, MPT

Individual provider Physical Therapist · NPI 1164652764

Dane Erick Potochny, MPT is a Physical Therapist in Private Practice in Fenton, Michigan. Qualified in 2001, 25 years ago. Practices with Family Orthopedic Associates P L C, a 44-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
25
Licensed in
MI
In the registry since
2009
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

17015 Silver Pkwy
Fenton, MI 48430-3425
Phone: (810) 593-0027
Fax: (810) 593-0202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501011078 (MI)

Record details

NPI number1164652764
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedJuly 17, 2009
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023
Mailing address4466 W Bristol Rd, Flint, MI 48507-3170

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Family Orthopedic Associates P L C — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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