Individual provider Active NPI

Sandra Jean Potthoff, D.C.

  • Chiropractor
  • Micco, FL
National Provider Identifier
1962505263
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9896 Issued in FL
Practice address
8000 Ron Beatty Blvd Ste B-1
Micco, FL 32976-7471
Phone
(305) 783-8333
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9896 FL Primary

Addresses

Primary practice location

8000 Ron Beatty Blvd Ste B-1
Micco, FL 32976-7471

Mailing address

7294 Topaz Dr
Grant, FL 32949-8323
Phone (305) 783-8333

Other names 1

  • Dr. Sandra Jean Tankersley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100514000624 FL Practitioner - Chiropractic 3779565585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8000 Ron Beatty Blvd
Suite B 1
Micco, FL 32976-7471
Phone (305) 783-8333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9896FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Chiropractic PA Chiropractor CurrentSince Apr 1, 2001 Accepting new patients
Tankersley Chiropractic PA Chiropractor PastSince Jun 4, 2004 Accepting new patients

Locations

5 Ships Way
Big Pine Key, FL 33043
Phone (305) 783-8333

8000 Ron Beatty Blvd
Ste B-1
Micco, FL 32976
Phone (305) 783-8333

709 Sebastian Blvd
Ste F
Sebastian, FL 32958
Phone (772) 202-7236

Organizations & group practices 2

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1962505263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7294 TOPAZ DR",
            "city": "GRANT",
            "state": "FL",
            "postal_code": "329498323",
            "telephone_number": "305-783-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 RON BEATTY BLVD STE B-1",
            "city": "MICCO",
            "state": "FL",
            "postal_code": "329767471",
            "telephone_number": "305-783-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTHOFF",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "TANKERSLEY",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Micco, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.