Cody Nathan Porter, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10696 Issued in SC

Practice address

104 Mauldin Rd # Teb
Greenville, SC 29605-1221

Phone

(864) 214-6680

Fax

(864) 309-8043

NPI assigned

Jun 7, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Medical University of South Carolina College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foundation Physical Therapy LLCGroup PAC ID 5597136507, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Foundation Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Greenville, SC
  • NPI 1124743331

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Berkeley Rehabilitation, LLC

  dba Rehab Carolina

  • Physical Therapist
  • Charleston, SC
  • NPI 1194344150
  Medicare reassignment NPD

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1427787258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MAULDIN RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051221",
            "telephone_number": "864-214-6680",
            "fax_number": "864-309-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAULDIN RD # TEB",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051221",
            "telephone_number": "864-214-6680",
            "fax_number": "864-309-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CODY",
        "middle_name": "NATHAN",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC BOARD OF PT EXAMINERS",
            "identifier": "PT.10696",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick P. Poppe Jr., CRNA
• Popwell Scota Spine Center
• Warren Lee Popwell, DC
• Catherine Joy Portch, MSN, APRN, PMHNP-BC
• Nicole Megan Portela, NP
• Dakota Porter, PT, DPT
• Jacretia Porter
• John Arthur Harris Porter, MD
• Judith Porter, LPN
• Julia Alexandra Porter, IBCLC

• Physical Therapist in Greenville, SC
• Providers in Greenville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.