Active NPI
Paul Woodrow Potier III, DC
- Chiropractor
- Orlando, FL
National Provider Identifier
1578051041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12445
- Practice address
- Mobile Service
Orlando, FL 32836 - Phone
- (352) 552-4889
- NPI assigned
- Apr 30, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12445 | FL | Primary |
Addresses
Primary practice location
Mobile Service
Orlando, FL 32836
Mailing address
8798 Lake Tibet CT
Orlando, FL 32836-5481
Phone (352) 552-4889
Other practice location 1
10182 Pointview Ct
Orlando, FL 32836-6334
Phone (352) 552-4889
Other names 1
- Dr. Trey Potier
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH12445 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525046400000",
"number": "1578051041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8798 LAKE TIBET CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328365481",
"telephone_number": "352-552-4889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MOBILE SERVICE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32836",
"telephone_number": "352-552-4889"
}
],
"practiceLocations": [
{
"address_1": "10182 Pointview Ct",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328366334",
"country_code": "US",
"telephone_number": "352-552-4889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POTIER",
"first_name": "PAUL",
"middle_name": "WOODROW",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-30",
"last_updated": "2018-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TREY",
"last_name": "POTIER",
"prefix": "DR.",
"credential": "DC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.