Individual provider Active NPI

Kathryn Porter, PT, DPT

  • Physical Therapist
  • Arlington, TX
National Provider Identifier
1184048878
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1240127 Issued in TX
Practice address
5833 W Interstate 20
Arlington, TX 76017-1057
Phone
(817) 516-1115
Fax
(817) 516-1104
NPI assigned
Feb 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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 1240127 TX Primary

Addresses

Primary practice location

5833 W Interstate 20
Arlington, TX 76017-1057

Mailing address

5833 W Interstate 20
Arlington, TX 76017-1057
Phone (817) 516-1115

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

State licenses

LicenseStateTypeSpecialty
1240127TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1184048878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 W INTERSTATE 20",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171057",
            "telephone_number": "817-516-1115",
            "fax_number": "817-516-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 W INTERSTATE 20",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171057",
            "telephone_number": "817-516-1115",
            "fax_number": "817-516-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "KATHRYN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1240127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.