Individual provider Active NPI

Eric O Potter Sr., ATP, COTA

  • Other Technician
  • Houston, TX
National Provider Identifier
1497038103
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
98550 Issued in TX
Practice address
9350 Kirby Dr Ste 100
Houston, TX 77054-2528
Phone
(860) 212-6825
Fax
(877) 799-1904
NPI assigned
Sep 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 210657 TX
Other Technician 247200000X 98550 TX Primary

Addresses

Primary practice location

9350 Kirby Dr Ste 100
Houston, TX 77054-2528

Mailing address

9350 Kirby Dr Ste 100
Houston, TX 77054-2528
Phone (860) 212-6825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
210657TXMDOccupational Therapy Assistant
98550TXMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
United Seating and Mobility LLC PastSince Jul 21, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1497038103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 KIRBY DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542528",
            "telephone_number": "860-212-6825",
            "fax_number": "877-799-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 KIRBY DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542528",
            "telephone_number": "860-212-6825",
            "fax_number": "877-799-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "ERIC",
        "middle_name": "O",
        "name_suffix": "Sr.",
        "credential": "ATP, COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210657",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "98550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.