Jorge Porter-Wolf, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT35317 Issued in FL

Practice address

11061 SW 58TH Ter
Miami, FL 33173-1105

Phone

(786) 266-5255

NPI assigned

Aug 14, 2021

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 FL2 enrollments

Enrollment records 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Luna Care Physical Therapy LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1114542032
  Medicare reassignment NPD
• Wolf Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Miami, FL
  • NPI 1801650189
  NPD Authorized official

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1588339139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11061 SW 58TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731105",
            "telephone_number": "786-266-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11061 SW 58TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731105",
            "telephone_number": "786-266-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER-WOLF",
        "first_name": "JORGE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-14",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Antonio Portela, M.D.
• Rafael R Portela, MD
• Elizabeth Portelles Pinero
• Marbelys Portelles Velazquez
• Elaine Portelles
• Cashmere Nicole Porter
• Dulce M. Porter, OT
• Kadijah Falah Porter, MD
• Dalia R. Portero, PHD
• Portilla Diagnostic Group LLC

• Physical Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.