Active NPI
Bryan Porter, PT
- Physical Therapist
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 750 Prides Xing Ste 112
Newark, DE 19713-6107 - Phone
- (302) 864-2222
- NPI assigned
- Apr 8, 2021
- Last updated
- Nov 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
750 Prides Xing Ste 112
Newark, DE 19713-6107
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
4051 Ogletown Rd Ste 202A
Newark, DE 19713-3101
Phone (302) 607-6222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
750 Prides Xing
Suite 112
Newark, DE 19713-6107
Phone (302) 864-2222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First State Orthopaedics, PA | Physical Therapist | Current | Accepting new patients |
| Callaway Franceschini LLC | Physical Therapist | Current | Accepting new patients |
| First State Orthopaedics PA | Physical Therapist | Current | Accepting new patients |
| Callaway Franceschini LLC | Physical Therapist | Current | Accepting new patients |
Locations
1030 Forrest Ave
Ste 105A
Dover, DE 19904
Phone (302) 268-8880
601 Tower Ln
Ste 202
Middletown, DE 19709
Phone (302) 268-8880
4745 Ogletown Stanton Rd
Ste 238
Newark, DE 19713
750 Prides Xing
Ste 112
Newark, DE 19713
Phone (302) 864-2222
1722 Naamans Rd
Wilmington, DE 19810
Phone (302) 722-6419
Interoperability endpoints
- bryan.porterpt.p1@direct.fsoortho.nextgenshare.com
Organizations & group practices 5
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.
-
dba Orthopaedic Associates of Southern Delaware
- Orthopaedic Surgery Physician
- Lewes, DE
- NPI 1184681488
-
- Orthopaedic Surgery Physician
- Newark, DE
- NPI 1346220266
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1447830146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 PRIDES XING STE 112",
"city": "NEWARK",
"state": "DE",
"postal_code": "197136107",
"telephone_number": "302-864-2222"
}
],
"practiceLocations": [
{
"address_1": "4051 Ogletown Rd Ste 202A",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197133101",
"country_code": "US",
"telephone_number": "302-607-6222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTER",
"first_name": "BRYAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-08",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.