Shanaia Porter, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

30636 Issued in FL

Practice address

701 N 14TH St Ste 1
Leesburg, FL 34748-4205

Phone

(352) 314-3874

Fax

(352) 314-5954

NPI assigned

Feb 4, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Cora Health Services, Inc

  dba CORA Physical Therapy - Leesburg

  • Rehabilitation Clinic/Center
  • Leesburg, FL
  • NPI 1346839909
  NPD

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1487308805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 14TH ST STE 1",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484205",
            "telephone_number": "352-314-3874",
            "fax_number": "352-314-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 14TH ST STE 1",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484205",
            "telephone_number": "352-314-3874",
            "fax_number": "352-314-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "SHANAIA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "30636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sporter@corahealth.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 N 14th St Ste 1",
            "city": "Leesburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347484205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Ming Pon, M.D., M.P.H.
• Chantress Poole
• Tyler Poole, PHARM. D.
• Haley Pope
• Allison Portas, PTA
• Yoneka Tahisha Powell, ARNP, PMHNP-BC
• Praxis Therapy LLC
• Precision Home Health Care
• Premier Care Homecare, LLC
• Premiere Medical Laboratories P a

• Physical Therapy Assistant in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.