Amalia Stephany Porcel

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

25101 Modoc Dr
Laguna Hills, CA 92653-5117

Phone

(949) 547-1063

NPI assigned

Nov 18, 2021

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Performance Physical Therapy, Inc.Group PAC ID 7810163573, 14 clinicians

Practice addresses (Care Compare)

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.

• Core Performance Physical Therapy, Inc.

  • Orthopedic Physical Therapist
  • Newport Beach, CA
  • NPI 1871878041
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1558028159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25101 MODOC DR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25101 MODOC DR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535117",
            "telephone_number": "949-547-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCEL",
        "first_name": "AMALIA",
        "middle_name": "STEPHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PNP Associates
• Nicole Polidoro
• Mary Elizabeth Pongetti, DPT
• Alrea Jasmine Malinao Pontanares, RBT
• Shahrokh Poormehr, DO
• Positive Healthy Aging, Inc.
• Heather Marie Potter, DPT
• Susan L. Potts, PH.D
• Steven Poulos, D. C.
• Amir Abbas Pouradib, M.D.

• Physical Therapist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.