Charles Casey Porter, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA3245 Issued in MS

Practice address

230 Airline Rd
Columbus, MS 39702-6348

Phone

(662) 327-9404

NPI assigned

Feb 13, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• United Methodist Senior Services of Golden Triangle Area, Inc.

  • Skilled Nursing Facility
  • Columbus, MS
  • NPI 1598753436
  NPD (past)
• Wound Care Associates LLC

  • Specialist
  • Hammond, LA
  • NPI 1568793750
  NPD (past)

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

{
    "created_epoch": "1297555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297555200000",
    "number": "1295032118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 OLD WEST POINT RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 AIRLINE RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397026348",
            "telephone_number": "662-327-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CHARLES",
        "middle_name": "CASEY",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-13",
        "last_updated": "2011-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA3245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allie Pitts
• Victoria Morgan Pollard, MSW, LCSW
• Sheila R Ponder, MS
• Stephen E Poole
• Kelisha L Pope, MHT
• Mandi Lashea Porter, PT, DPT
• Raven Porter
• Steven Mark Porter, D.D.S.
• Tiffany Marie Porter, PHARM.D.
• Tomekia Porter

• Physical Therapy Assistant in Columbus, MS
• Providers in Columbus, MS by specialty
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2011; 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.