Staci Lynn Porter, MSPT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03279 Issued in IA

Practice address

2918 E University Ave
Des Moines, IA 50317-8236

Phone

(515) 265-8272

Fax

(515) 265-0176

NPI assigned

Mar 27, 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

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• LTR, LLC

  • Physical Therapist
  • Ankeny, IA
  • NPI 1174987614
  Medicare reassignment NPD
• Athletico LTD

  • Clinic/Center
  • Des Moines, IA
  • NPI 1871900985

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1548220999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W WACKER DR",
            "address_2": "SUITE 1020",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061216",
            "telephone_number": "312-640-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 E UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503178236",
            "telephone_number": "515-265-8272",
            "fax_number": "515-265-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "STACI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSPT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porter Wellness Inc
• Hannah Porter, DO
• Kierstin Porter, DO
• Lindsay Porter
• Melanie Porter, N.P.
• Tracy Porter, PT
• Heather Noel Stein Poskevich
• Post-Acute Physicians of Iowa, PLLC
• Allison Post
• Tiffany Renae Post, PA-C

• Physical Therapist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.