Individual provider Active NPI

Megan Porfido, OT

  • Occupational Therapist
  • Laurel, MD
National Provider Identifier
1396339024
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
09207 Issued in MD
Practice address
14409 Greenview Dr Ste 102
Laurel, MD 20708-4213
Phone
(301) 498-8100
Fax
(301) 498-0009
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 09207 MD Primary

Addresses

Primary practice location

14409 Greenview Dr Ste 102
Laurel, MD 20708-4213

Mailing address

PO Box 500
Brookeville, MD 20833-0500
Phone (301) 498-8100

Other identifiers 1

IdentifierTypeStateIssuer
09207OtherMDMD BOARD OF OCCUPATIONAL THERAPY PRACTICE

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
09207MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Services, Inc. Occupational Therapist PastSince Mar 4, 2021 Accepting new patients
Associated Professional Rehabilitation Services, Inc. Occupational Therapist PastSince Mar 4, 2021 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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1396339024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "BROOKEVILLE",
            "state": "MD",
            "postal_code": "208330500",
            "telephone_number": "301-498-8100",
            "fax_number": "301-498-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14409 GREENVIEW DR STE 102",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207084213",
            "telephone_number": "301-498-8100",
            "fax_number": "301-498-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORFIDO",
        "first_name": "MEGAN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD BOARD OF OCCUPATIONAL THERAPY PRACTICE",
            "identifier": "09207",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.