MR. JEFFERY LYNN POTTHOFF (NPI# 1386791903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386791903 |
| Entity Type | Individual |
| Full Name | MR. JEFFERY LYNN POTTHOFF |
| Credential | ATC, LAT, CST |
| Practice Address |
540 Madison Oak Dr Suite 690 San Antonio TX 78258-3943 |
| Mailing Address |
515 Springwood Ln Adkins TX 78101-2711 |
| Practice Telephone | 2104913434 |
| Practice Fax Number | 2104967746 |
| Mailing Telephone | 8302174472 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT0624 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
540 MADISON OAK DR SUITE 690 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-3943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076096 | Raul Ramos | Colon & Rectal Surgery | 540 Madison Oak Dr, Suite 370, San Antonio, TX 78258-3943 | 2005-07-11 |
| 1730611120 | Leslie Gordon | Counselor | 540 Madison Oak Dr, Suite 340, San Antonio, TX 78258-3943 | 2017-04-03 |
| 1558818047 | Ramiro Barrientos Jr. | Specialist/Technologist, Other | 540 Madison Oak Dr, Ste 610, San Antonio, TX 78258-3924 | 2016-09-01 |
| 1811365802 | South Texas Urogynecology Pllc | Obstetrics & Gynecology | 540 Madison Oak Dr, Suite 570, San Antonio, TX 78258-3943 | 2015-09-08 |
| 1881060127 | Gmit-texas LLC | Chiropractor | 540 Madison Oak Dr, Suite 140, San Antonio, TX 78258-3943 | 2015-08-20 |
| 1548654387 | William A Atlas Md Pa | Internal Medicine | 540 Madison Oak Dr, Suite 550, San Antonio, TX 78258-3943 | 2015-03-18 |
| 1508259961 | Mohammad Yosuf | Specialist/Technologist, Other | 540 Madison Oak Dr, Ste 610, San Antonio, TX 78258-3924 | 2015-03-10 |
| 1285026385 | Barrett Quality Medical Interests | Podiatrist | 540 Madison Oak Dr, Suite 130, San Antonio, TX 78258-3943 | 2015-02-26 |
| 1497150312 | Dr. Moffat D. Adams, Jr. Dpm Pllc | Podiatrist | 540 Madison Oak Dr, Suite 600, San Antonio, TX 78258-3943 | 2014-11-04 |
| 1013316710 | Dawn Denise Marshall | Specialist/Technologist, Other | 540 Madison Oak Dr, Ste 610, San Antonio, TX 78258-3924 | 2014-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1417560004 | Margarita Carmen Carrizales | Specialist/Technologist | 8503 Chelsea Park, San Antonio, TX 78251-2552 | 2020-08-25 |
| 1710590328 | Seth Girard | Specialist/Technologist | 12631 Sunny Wonder, San Antonio, TX 78253-5193 | 2020-08-25 |
| 1942811534 | Nadia Giselle Briones | Specialist/Technologist | 8918 Sungate Bay, San Antonio, TX 78224-2254 | 2020-08-16 |
| 1376152181 | Stevie Marie Digiacomo | Specialist/Technologist | 7611 Marbach Rd, San Antonio, TX 78227-1691 | 2020-07-28 |
| 1851900906 | Giovanni A. Patino | Specialist/Technologist | 13610 Box T Dr, San Antonio, TX 78253-5461 | 2020-07-24 |
| 1972123388 | Jaime Alejandro Gonzalez | Specialist/Technologist | 302 E Hathaway Dr, San Antonio, TX 78209-6415 | 2020-04-26 |
| 1699395400 | Heather Wrench | Specialist/Technologist | 13000 Vista Del Norte Apt 314, San Antonio, TX 78216-8045 | 2020-04-21 |
| 1508493867 | Victoria Pineda | Specialist/Technologist | 215 Bexar Dr, San Antonio, TX 78228-4207 | 2020-03-26 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
Please comment or provide details below to improve the information on MR. JEFFERY LYNN POTTHOFF.
| 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.