Ebony Delshun Porter

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4379 Issued in TN

Practice address

126 Paddock Place Dr
Mt Juliet, TN 37122-6605

Phone

(214) 364-6155

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• 1 Care Concept Solutions Corp

  • In Home Supportive Care Agency
  • Mount Juliet, TN
  • NPI 1417845611

  Occupational Therapist

  NPD Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1467672816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371210523",
            "telephone_number": "214-364-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PADDOCK PLACE DR",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371226605",
            "telephone_number": "214-364-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "EBONY",
        "middle_name": "DELSHUN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "4379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Boahemaa Poku, PHARMD
• Corsica Polk
• Kemissa Nathanaelle Polynice, BCBA
• Lisa Marie Poole Brothers, PHARM.D
• Ashley Coast Porter, RD, LDN
• Gabby Poston
• Candyce Poteet, NP
• Shamira Janell Powell
• Aubrey Poythress, MSOT
• Jared Prall

• Occupational Therapist in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.