IndividualActive
Matthew Potts, COTA
NPI 1013624287 · Occupational Therapy Assistant · Lagrange, IN
Provider details
- NPI number
- 1013624287
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- No
- License
- 32001213A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
787 N Detroit St
Lagrange, IN 46761-1111
Phone: (260) 463-2172
Street-level locationGet directions
Mailing address
713 Wakefield Cir
Kendallville, IN 46755-2604
Registry dates
- Enumerated
- 2022-10-27
- Last updated
- 2022-10-27
- Certified
- 2022-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.