POTENTILLA THERAPY PLLC
NPI 1669271870
Social Worker - Clinical in Bristol, CT
About Potentilla Therapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POTENTILLA THERAPY PLLC (NPI 1669271870) is a healthcare organization registered as a clinical in Bristol, Connecticut and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Torrington and lists Amanda Dill, Owner/lcsw, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Potentilla Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Potentilla Therapy PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Potentilla Therapy PLLC's NPI number?
The NPI number for Potentilla Therapy PLLC is 1669271870. It was assigned to this organization in the NPPES registry on March 10, 2025.
Where is Potentilla Therapy PLLC located?
Potentilla Therapy PLLC is located at 196 Woodland St Unit 1C, Bristol, CT 06010. The listed phone number is (860) 309-5569.
What is Potentilla Therapy PLLC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Potentilla Therapy PLLC enrolled in Medicare?
Yes. Potentilla Therapy PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Potentilla Therapy PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Potentilla Therapy PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Potentilla Therapy PLLC was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Potentilla Therapy Pllc · NPI 1669271870
Clinical organization in Bristol, Connecticut. Organization record, active in the CMS NPPES registry since March 10, 2025.
## Identity
- **NPI:** 1669271870 (Entity type: Organization)
- **Enumerated:** March 10, 2025
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Amanda Dill, OWNER/LCSW
## Practice location
- **Address:** 196 WOODLAND ST UNIT 1C, Bristol, CT 06010-5283
- **Phone:** (860) 309-5569
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669271870) · Data from the CMS NPPES public registry.