Active NPI
Kelleen Porter, DPT
- Physical Therapist
- Delaware, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1871 W William St
Delaware, OH 43015-2255 - Phone
- (740) 363-4373
- Fax
- (740) 363-9560
- NPI assigned
- Jul 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1871 W William St
Delaware, OH 43015-2255
Mailing address
1871 W William St
Delaware, OH 43015-2255
Phone (740) 363-4373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1871 W William St
Delaware, OH 43015-2255
Phone (740) 363-4373
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.84 of 100
- Quality
- 63.13
- Improvement activities
- 40
- Cost
- 75.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot & Ankle Wellness Center | Current | Accepting new patients | |
| PT Link LLC | Physical Therapist | Current | Accepting new patients |
| Regional Occupational Health Clinics, LLC | Current | Accepting new patients | |
| Grady Memorial Hospital | Past | Accepting new patients |
Locations
1871 W William St
Delaware, OH 43015
Phone (740) 363-4373
7617 Dayton Springfield Rd
Fairborn, OH 45324
Phone (937) 340-6063
1835 E High St
Ste 2
Springfield, OH 45505
Phone (937) 322-8977
4210 W Sylvania Ave
Ste 102
Toledo, OH 43623
Phone (419) 350-3347
4349 Talmadge Rd
Toledo, OH 43623
Phone (419) 654-8818
Organizations & group practices 4
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.
-
- Podiatrist
- Delaware, OH
- NPI 1205025491
-
- Physical Therapist
- Toledo, OH
- NPI 1902149990
-
- Family Medicine Physician
- Springfield, OH
- NPI 1013161215
-
- General Acute Care Hospital
- Delaware, OH
- NPI 1235174327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1073009163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1871 W WILLIAM ST",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430152255",
"telephone_number": "740-363-4373",
"fax_number": "740-363-9560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1871 W WILLIAM ST",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430152255",
"telephone_number": "740-363-4373",
"fax_number": "740-363-9560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "KELLEEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-02",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delaware, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.