Individual provider Active NPI

Tara Leigh Porter

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1285841536
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016937 Issued in PA
Practice address
107 Sika Dr
Pittsburgh, PA 15239-2559
Phone
(724) 387-2714
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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 PT016937 PA Primary

Addresses

Primary practice location

107 Sika Dr
Pittsburgh, PA 15239-2559

Mailing address

107 Sika Dr
Pittsburgh, PA 15239-2559
Phone (724) 387-2714

Other practice location 1

231 Crowe Ave
Mars, PA 16046
Phone (724) 625-4280

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721000108 PA Practitioner - Physical Therapist in Private Practice 2860895422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 Sika Dr
Pittsburgh, PA 15239-2559
Phone (412) 999-3289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016937PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage at Home Physical Therapy Co. Physical Therapist CurrentSince Jul 7, 2021 Accepting new patients

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1285841536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SIKA DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152392559",
            "telephone_number": "724-387-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SIKA DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152392559",
            "telephone_number": "724-387-2714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Crowe Ave",
            "address_purpose": "LOCATION",
            "city": "Mars",
            "state": "PA",
            "postal_code": "16046",
            "country_code": "US",
            "telephone_number": "724-625-4280",
            "fax_number": "724-625-4288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "TARA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.