Porras Physical Therapy and Rehabilitation Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PORRAS PHYSICAL THERAPY AND REHABILITATION INC

Practice address

1282 Wild Rose Dr NE
Palm Bay, FL 32905-4310

Phone

(321) 676-9033

Fax

(321) 676-9033

NPI assigned

Nov 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marcos Porras, PTNPI 1245431717

Title

President

Phone

(321) 676-9033

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcos Porras, PT

  • Physical Therapist
  • Palm Bay, FL
  • NPI 1245431717
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1164675104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 WILD ROSE DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054310",
            "telephone_number": "321-676-9033",
            "fax_number": "321-676-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 WILD ROSE DR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054310",
            "telephone_number": "321-676-9033",
            "fax_number": "321-676-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORRAS PHYSICAL THERAPY AND REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "PORRAS",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-676-9033",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Y8221",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Pittman
• Pleasant Home Inc
• Monique Pommells
• Delmarie Ponce
• Gaston Pontes
• Marcos Porras, PT
• Denise Porter
• Victoria Anne Pospisil, LMHC
• Pinkesh B Prajapati, M.D.
• Precision Care Services LLC

• Physical Therapy Clinic/Center in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.