Active NPI
Madeline Porter
- Physical Therapist
- Germantown, TN
National Provider Identifier
1194516781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15954
- Practice address
- 1400 S Germantown Rd
Germantown, TN 38138-2205 - Phone
- (901) 507-7665
- NPI assigned
- May 14, 2025
- Sex
- Unspecified or another gender identity
- 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 | 15954 | TN | Primary |
Addresses
Primary practice location
1400 S Germantown Rd
Germantown, TN 38138-2205
Mailing address
1198 Isle View Dr
Memphis, TN 38103-8985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260626002951 | TN | Practitioner - Physical Therapist in Private Practice | 9638642945 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Tennessee, HSC, College of Medicine, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1198 Isle View Dr
Memphis, TN 38103-8985
256 Germantown Bend CV
Suite 1
Cordova, TN 38018-5212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15954 | TN | MD | Family Nurse Practitioner |
Interoperability endpoints
- madeline.porter.1@1366.direct.athenahealth.com
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": "1747180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1194516781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1198 ISLE VIEW DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381038985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S GERMANTOWN RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382205",
"telephone_number": "901-507-7665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "MADELINE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-05-14",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "15954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.