Active Body Chiro Rehab

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ACTIVE BODY CHIRO REHAB

Practice address

733 Roosevelt TRL Ste 1
Windham, ME 04062-5286

Phone

(207) 346-7412

NPI assigned

Jun 8, 2023

Organization subpart

No

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

Authorized official

Name

Dr. John Pottle, DCNPI 1366171530

Title

Owner

Phone

(207) 346-7412

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Pottle, DC

  • Chiropractor
  • Otisfield, ME
  • NPI 1366171530
  NPD Authorized official
• Crystal Page, LMT

  • Massage Therapist
  • Windham, ME
  • NPI 1841167723
  NPD
• Makayla Brooke Martin

  • Massage Therapist
  • Windham, ME
  • NPI 1104772730

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1831883099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 ROOSEVELT TRL STE 1",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625286",
            "telephone_number": "207-346-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 ROOSEVELT TRL STE 1",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625286",
            "telephone_number": "207-346-7412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Bell Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Otisfield",
            "state": "ME",
            "postal_code": "042706617",
            "country_code": "US",
            "telephone_number": "207-346-7412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACTIVE BODY CHIRO REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "POTTLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-346-7412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel L Achenbach, OD
• Timothy R Adamchuk, DMD
• Whitney W Adams, LCSW, LADC, CCS
• Advanced Dental Concepts
• Steven James Aiello, PA-C
• All Med Staffing of New England

• Chiropractor in Windham, ME
• Providers in Windham, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.