Waco C Porter

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-03569 Issued in KS

Practice address

11032 S Green Rd
Olathe, KS 66061-5657

Phone

(816) 547-9654

Fax

(816) 832-2874

NPI assigned

Feb 22, 2023

Sex

Male

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)

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.

• Therapy in Motion Inc

  • Physical Therapist
  • Raytown, MO
  • NPI 1568855765
  NPD

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1497453955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6713 VERMONT AVE",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641336140",
            "telephone_number": "816-809-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11032 S GREEN RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615657",
            "telephone_number": "816-547-9654",
            "fax_number": "816-832-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "WACO",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-03569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollie Elizabeth Porsi, M.S., CCC-SLP
• Amy Porter, MOTR/L CLT
• Janet Rene Porter, APRN, PMHNP-BC, DNP
• Keisa Monique Porter
• Samuel Grant Porter, MD
• Robyn Lyn Potanas, LSCSW
• Emily J Potter, LMFT
• Meshon Pouncil
• Dusti D. Powell, MS, TLMFT
• Michelle Leann Powell, LMSW

• Physical Therapy Assistant in Olathe, KS
• Providers in Olathe, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.