Georgina Alfrida Potgieter

Primary specialty

MechanotherapistTaxonomy code 172M00000X

Practice address

770 Highway 110
Mendota Heights, MN 55120-1509

Phone

(651) 686-0587

NPI assigned

Feb 5, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Massage Elements, LLC

  • Mechanotherapist
  • Mendota Heights, MN
  • NPI 1710251079
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1306085832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 4TH AVE S",
            "city": "SOUTH ST PAUL",
            "state": "MN",
            "postal_code": "550752618",
            "telephone_number": "651-303-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 HIGHWAY 110",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201509",
            "telephone_number": "651-686-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTGIETER",
        "first_name": "GEORGINA",
        "middle_name": "ALFRIDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa Phelps, MS, CCC SLP
• Katherine Ann Piehl, NP
• Justin Plecko, ATC
• Michael B Plunkett, M.D.
• Jason Harvey Post, PHARMD
• Brian Bennett Ramos
• Ainsley Randall
• Samuel Nathan Ray, RBT
• Chrysa Reichel, LGSW
• Aubrey Joyce Reidt

• Mechanotherapist in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Mechanotherapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.