Active NPI
Larry Porter
- Home Health Aide
- Detroit, MI
National Provider Identifier
1104777069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 4386 Conner St Apt 411
Detroit, MI 48215-2273 - Phone
- (313) 618-4070
- NPI assigned
- Feb 6, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | MI | ||
| Home Health Aide | 374U00000X | Primary | ||
| Doula | 374J00000X |
Addresses
Primary practice location
4386 Conner St Apt 411
Detroit, MI 48215-2273
Mailing address
4386 Conner St Apt 411
Detroit, MI 48215-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1104777069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4386 CONNER ST APT 411",
"city": "DETROIT",
"state": "MI",
"postal_code": "482152273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4386 CONNER ST APT 411",
"city": "DETROIT",
"state": "MI",
"postal_code": "482152273",
"telephone_number": "313-618-4070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "LARRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-06",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.