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

Kip Anthony Potter

Individual provider Physical Therapist · NPI 1609629930

Kip Anthony Potter is a Physical Therapist in Private Practice in Columbus, Georgia. Qualified in 2024, 2 years ago. Practices with Fox Rehab PT Al LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
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Practice location Address checks out

106 Enterprise Ct Ste C
Columbus, GA 31904-9096
Phone: (706) 221-6448
Fax: (706) 365-0002
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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 PT017130 (GA)

Record details

NPI number1609629930
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2024
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fox Rehab Pt Al Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Columbus