Philip W Porter, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

32180 Issued in AZ

Practice address

6264 E Grant Rd
Tucson, AZ 85712-5882

Phone

(520) 884-0001

Fax

(520) 884-0199

NPI assigned

Jan 4, 2022

Last updated

Jul 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agility Spine and Sports Physical Therapy and Rehabilitation LPGroup PAC ID 9335416932, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agility Spine & Sports Physical Therapy and Rehabilitation LP

  • Physical Therapist
  • Tucson, AZ
  • NPI 1851823900
  Medicare reassignment Care Compare group NPD
• Sunbelt Medical Group LLC

  • Clinic/Center
  • Tucson, AZ
  • NPI 1104354752

  Physical Therapist

  Medicare reassignment NPD
• Agility Spine & Sports Physical Therapy and Rehabilitation LP

  • Physical Therapist
  • Sierra Vista, AZ
  • NPI 1376438911
  NPD
• Sunbelt Medical Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
  • NPI 1568213700
  NPD
• Agility Spine & Sports Physical Therapy and Rehabilitation LP

  • Physical Therapist
  • Oro Valley, AZ
  • NPI 1861219677
  NPD (past)

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1306507157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161910",
            "telephone_number": "520-322-6274",
            "fax_number": "520-509-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6264 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125882",
            "telephone_number": "520-884-0001",
            "fax_number": "520-884-0199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10445 N Oracle Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857379358",
            "country_code": "US",
            "telephone_number": "520-884-0001",
            "fax_number": "520-689-6819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3988 E Fort Lowell Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857121010",
            "country_code": "US",
            "telephone_number": "520-488-5291",
            "fax_number": "520-689-6810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "PHILIP",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "32180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109503",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPT LICENSE",
            "identifier": "32180",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sol-pt.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3988 E Fort Lowell Rd",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857121010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donald Elwood Porter, MD
• Elsa Diaz Porter, FNP-C
• Kaiden Brandon Porter
• Nicholas Byam Porter, PHARMD
• Nicholas Lefens Porter, PA-C
• Tammy Deloris Porter, LMFT
• Edgar Esteban Portillo, FNP-BC
• Seanna Portillo, RBT
• Kelli Portnoy, RN
• Vanessa Lynn Portor, RN

• Physical Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.