Active NPI
Pam A Porter, PT
- Orthopedic Physical Therapist
- Daphne, AL
National Provider Identifier
1508940230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PTH1459
- Practice address
- 1207 Main St
Daphne, AL 36526-4420 - Phone
- (251) 621-6865
- Fax
- (251) 621-6891
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PTH1459 | AL | Primary |
Addresses
Primary practice location
1207 Main St
Daphne, AL 36526-4420
Mailing address
44 Ramey LN
Fairhope, AL 36532-2078
Phone (251) 401-0950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51033114 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH1459 | AL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Rehab Services, Inc | Current | Accepting new patients |
Locations
1207 Main St
Daphne, AL 36526
Phone (251) 401-0950
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Daphne, AL
- NPI 1972299808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1508940230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 RAMEY LN",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322078",
"telephone_number": "251-401-0950",
"fax_number": "251-621-6891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 MAIN ST",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264420",
"telephone_number": "251-621-6865",
"fax_number": "251-621-6891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "PAM",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AL",
"license": "PTH1459",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51033114",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.