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

MS. Stacy Ellen Potvin, PTA

Individual provider Physical Therapy Assistant · NPI 1730480906

MS. Stacy Ellen Potvin, PTA is a Physical Therapy Assistant in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2010.

Licensed in
MA
In the registry since
2010
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

330 Brookline Ave
Boston, MA 02215-5400
Phone: (617) 667-4530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3450 (MA)

Record details

NPI number1730480906
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 4, 2010
Last updated in NPPESNovember 4, 2010
Mailing address330 Brookline Ave, Boston, MA 02215-5400

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