Joan E.R. Porto, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2131 Issued in CA

Practice address

1309 Allston Way
Berkeley, CA 94702-1920

Phone

(510) 848-8774

Fax

(510) 848-2438

NPI assigned

Jan 21, 2020

Last updated

Jan 21, 2020By the provider in NPPES

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1457981201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 ALLSTON WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947021920",
            "telephone_number": "510-848-8774",
            "fax_number": "510-848-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 ALLSTON WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947021920",
            "telephone_number": "510-848-8774",
            "fax_number": "510-848-2438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3029 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946023219",
            "country_code": "US",
            "telephone_number": "510-292-9314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTO",
        "first_name": "JOAN",
        "middle_name": "E.R.",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT2131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan B. Port, PSY.D.
• Angela Gabriel Porter, MA, RAS
• Raymond Porter
• Elizabeth Brodsky Portin, DO
• Kristen Portney
• Megan Potmesil, PPS
• Alison R. Potter, M.D.
• Corrie Potter
• Phyllis Potter, CSW
• Brian Richard Potts, MD

• Occupational Therapist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.