Ryan Potter (NPI# 1982209698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1982209698 |
| Entity Type | Individual |
| Full Name | Ryan Potter |
| Credential | MT128655 |
| Gender | Male |
| Practice Address |
5100 Nw Loop 410 Apt 4005 San Antonio TX 78229-5325 |
| Practice Telephone | 2819434620 |
| Mailing Address |
5100 Nw Loop 410 Apt 4005 San Antonio TX 78229-5325 |
| Mailing Telephone | 2819434620 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | MT128655 | TX |
| State | Identifier | Issuer | Type Code |
|---|---|---|---|
| TX | MT128655 | OTHER | TEXAS DEPARTMENT OF REGISTRATION |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750746558 | Ryan Potter | Social Worker | 8800 Sunset Dr, Palm Beach Gardens, FL 33410-6233 | 2015-12-21 |
| 1396976155 | Ryan Potter | Audiologist | 1001 James St, Syracuse, NY 13203-2707 | 2009-07-28 |
| 1730107095 | Ryan Nelson Potter | Specialist | 5734 Spohn Dr, Corpus Christi, TX 78414-4116 | 2006-07-17 |
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447854450 | Lucas Quinn Rickelman | Massage Therapist | 110 E Houston St, San Antonio, TX 78205-2990 | 2020-11-30 |
| 1699378976 | Tana Renee Gonzalez | Massage Therapist | 130 Talavera Pkwy Apt 218, San Antonio, TX 78232-1064 | 2020-11-18 |
| 1154922474 | Shavana Williams | Massage Therapist | 3787 Perrin Central Blvd Apt 927, San Antonio, TX 78217-2822 | 2020-11-03 |
| 1144836743 | Amanda Lozano | Massage Therapist | 7810 Velez Park Dr, San Antonio, TX 78249-4479 | 2020-09-18 |
| 1740895036 | Lisa Kozodoy | Massage Therapist | 4847 Brandeis St Unit 2201, San Antonio, TX 78249-4387 | 2020-09-13 |
| 1922612605 | Stephanie Clark | Massage Therapist | 15227 Spring Cor, San Antonio, TX 78247-1693 | 2020-09-01 |
| 1629681549 | Nadira Campbell | Massage Therapist | 9525 Lorene Ln Apt 190, San Antonio, TX 78216-5008 | 2020-08-29 |
| 1457963688 | Kelsie Webb | Massage Therapist | 25675 Overlook Pkwy Apt 1904, San Antonio, TX 78260-2557 | 2020-08-19 |
| 1891306197 | Michael Owen Chase | Massage Therapist | 147 Teakwood Ln, San Antonio, TX 78216-6823 | 2020-08-11 |
| 1790318400 | Judith Poole | Massage Therapist | 10919 Culebra Rd Ste 112, Room 5, San Antonio, TX 78253 | 2020-02-20 |
| Find all providers in SAN ANTONIO | ||||
| Street Address |
5100 NW LOOP 410 APT 4005 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-5325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
Please comment or provide details below to improve the information on Ryan Potter.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.