Memory Porter, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3575 Issued in IA

Practice address

817 Main St
Adel, IA 50003-1478

Phone

(515) 993-2170

Fax

(515) 993-2174

NPI assigned

Oct 25, 2006

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

Other identifiers 1

Other names 1

• Memory Eltjes Former name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Maximum Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Adel, IA
  • NPI 1912316969

  IA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1508940453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 MAIN ST",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500031478",
            "telephone_number": "515-993-2170",
            "fax_number": "515-993-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 MAIN ST",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500031478",
            "telephone_number": "515-993-2170",
            "fax_number": "515-993-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MEMORY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "3575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665430",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEMORY",
            "last_name": "ELTJES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paula Carroll, M.S., LMHC, LLC
• Schuyler Paxton
• Erin Person, RD
• Physical Therapy and Rehabilitation Specialist Inc.
• Physiotherapy Associates, Inc.
• Progressive Community Network
• Psychology Services, PLLC
• Christine Ries, LMSW
• Derica Marie Sanchez
• Justin Scherff, DPT

• All providers in Adel, IA
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.