Ryan Potter, MT128655

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT128655 Issued in TX

Practice address

5100 NW Loop 410 Apt 4005
San Antonio, TX 78229-5325

Phone

(281) 943-4620

NPI assigned

Dec 1, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1982209698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 NW LOOP 410 APT 4005",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295325",
            "telephone_number": "281-943-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 NW LOOP 410 APT 4005",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295325",
            "telephone_number": "281-943-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "RYAN",
        "credential": "MT128655",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT128655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF REGISTRATION",
            "identifier": "MT128655",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://onedrive.live.com/?id=root&cid=E70E3DD83EE1C557&qt=sharedby",
            "affiliation": "N",
            "endpointDescription": "OneDrive",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf",
            "address_1": "5100 NW Loop 410 Apt 4005",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782295325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Francis Jeffery Pottenger, P.T.
• Allen R Potter, M.D.
• James V. Potter, DDS
• Jessica Potter, LMFT, LPC
• Richard M Potter, DDS
• Steven Timothy Potter, DO
• William Craig Potter
• Jeffery Lynn Potthoff, ATC, LAT, CST
• Audrey Potts, P.T.
• Carry Potts, RN

• Massage Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.