Individual provider Active NPI

Scott Porter

  • Physical Therapist
  • Lithia, FL
National Provider Identifier
1164985453
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34214 Issued in FL
Practice address
16627 Fishhawk Blvd Ste 103
Lithia, FL 33547-4369
Phone
(813) 737-8550
NPI assigned
Apr 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT34214 FL Primary

Addresses

Primary practice location

16627 Fishhawk Blvd Ste 103
Lithia, FL 33547-4369

Mailing address

7595 Baymeadows Cir W Apt 307
Jacksonville, FL 32256-1851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190604001016 FL Practitioner - Physical Therapist in Private Practice 9931432192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barwis Methods Physical TherapyGroup PAC ID 7618259409, 21 clinicians

Practice addresses (Care Compare)

378 Hillsboro Technology Dr
Deerfield Beach, FL 33441-1836
Phone (954) 449-0850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barwis Methods Physical Therapy Physical Therapist CurrentSince May 6, 2024 Accepting new patients

Locations

378 Hillsboro Technology Dr
Deerfield Beach, FL 33441
Phone (954) 449-0850

378 Hillsboro Technology Dr
#D
Deerfield Beach, FL 33441
Phone (954) 449-0850

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1164985453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 BAYMEADOWS CIR W APT 307",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16627 FISHHAWK BLVD STE 103",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335474369",
            "telephone_number": "813-737-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.

Verify at the official NPI Registry.