Individual provider Active NPI

Jeff Porter, DPT

  • Physical Therapist
  • Palmer, AK
National Provider Identifier
1487007522
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
113308 Issued in AK
Practice address
809 S Chugach St
Suite 1
Palmer, AK 99645-6665
Phone
(907) 746-4373
NPI assigned
Jul 13, 2016
Last updated
Jul 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 113308 AK Primary

Addresses

Primary practice location

809 S Chugach St
Suite 1
Palmer, AK 99645-6665

Mailing address

9910 E Trennie Loop
Apt O4
Palmer, AK 99645-9170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161101000076 AK Practitioner - Physical Therapist in Private Practice 2769760446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower Physical Therapy LLCGroup PAC ID 9830580240, 25 clinicians
Empower Physical Therapy Limited PartnershipGroup PAC ID 8224537535, 38 clinicians

Practice addresses (Care Compare)

3765 E Blue Lupine Dr
Suite E
Wasilla, AK 99654-8417
Phone (907) 854-8075

3765 E Lupine Dr
Suite E
Wasilla, AK 99654
Phone (907) 373-9462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy Limited Partnership Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Empower Physical Therapy, LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients

Locations

7985 E 16th Ave
Ste 100
Anchorage, AK 99504
Phone (907) 332-0021

902 E Palmer Wasilla Hwy
Palmer, AK 99645
Phone (907) 373-9462

3765 E Blue Lupine Dr
Ste E
Wasilla, AK 99654
Phone (907) 373-9462

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1487007522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 E TRENNIE LOOP",
            "address_2": "APT O4",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S CHUGACH ST",
            "address_2": "SUITE 1",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456665",
            "telephone_number": "907-746-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JEFF",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "113308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.