Holly Potter, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

005385 Issued in CT

Practice address

156 Kings Hwy
Groton, CT 06340-3436

Phone

(860) 861-8978

NPI assigned

May 8, 2013

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1710322318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MELLOW CT # 1",
            "city": "PAWCATUCK",
            "state": "CT",
            "postal_code": "063797921",
            "telephone_number": "860-861-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 KINGS HWY",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403436",
            "telephone_number": "860-861-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "HOLLY",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "005385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Ellen Pollack, D.C.
• Henry Ponce
• Rosemary Poole, LCSW
• Sarah Porter
• Thomas Gavin Porth, DMD
• Rachel Marie Powell, LPC
• Benjamin W Pratt, PHARMD RPH
• Howard E Pratt, IDC
• Precision Mental Health and Consulting Services LLC
• Preferred Therapy Outpatient Services, LLC

• Massage Therapist in Groton, CT
• Providers in Groton, CT by specialty
• Massage Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.