Active NPI
Preston Alayne Potter, OTR/L
- Occupational Therapist
- Topeka, KS
National Provider Identifier
1790377802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-03749
- Practice address
- 2200 SW Gage Blvd
Topeka, KS 66622-0001 - Phone
- (785) 350-3111
- NPI assigned
- Feb 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17-03749 | KS | Primary |
Addresses
Primary practice location
2200 SW Gage Blvd
Topeka, KS 66622-0001
Mailing address
8832 NE 101St St
Kansas City, MO 64157-7887
Phone (308) 529-8176
Other names 1
- Preston Alayne Rieker
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | preston.potter@va.gov | Direct |
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 |
|---|---|---|---|
| 17-03749 | KS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1790377802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8832 NE 101ST ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641577887",
"telephone_number": "308-529-8176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 SW GAGE BLVD",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666220001",
"telephone_number": "785-350-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "PRESTON",
"middle_name": "ALAYNE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-03749",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "preston.potter@va.gov",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "2200 SW Gage Blvd",
"city": "Topeka",
"state": "KS",
"country_code": "US",
"postal_code": "666220001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PRESTON",
"last_name": "RIEKER",
"middle_name": "ALAYNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.