Active NPI
Stephanie S Porter, L.P.T.
- Physical Therapist
- Boardman, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008791
- Practice address
- 1265 Boardman Canfield Rd
Boardman, OH 44512-4004 - Phone
- (330) 758-9400
- Fax
- (330) 726-8676
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008791 | OH | Primary |
Addresses
Primary practice location
1265 Boardman Canfield Rd
Boardman, OH 44512-4004
Mailing address
1265 Boardman Canfield Rd
Boardman, OH 44512-4004
Phone (330) 758-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2450904 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1265 Boardman Canfield Rd
Boardman, OH 44512-4010
Phone (330) 758-9400
2500 W Strub Rd
Sandusky, OH 44870-5390
Phone (419) 626-6161
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 59.13
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT008791 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Ohio Medical Specialists, LLC | Current | Accepting new patients | |
| Northern Ohio Medical Specialists LLC | Current | Accepting new patients |
Locations
16844 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 385-2413
16844 Saint Clair Ave
Ste 2
East Liverpool, OH 43920
Phone (330) 385-2413
2380 Southeast Blvd
Salem, OH 44460
Phone (330) 332-0426
3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841
2500 W Strub Rd
Sandusky, OH 44870
Phone 41960911123061
1265 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 758-8808
8175 Market St
Youngstown, OH 44512
Phone (330) 629-8800
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Sandusky, OH
- NPI 1225085855
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Boardman, OH
- NPI 1962455196
-
- Durable Medical Equipment & Medical Supplies
- Lorain, OH
- NPI 1952281511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1659327880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 BOARDMAN CANFIELD RD",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445124004",
"telephone_number": "330-758-9400",
"fax_number": "330-726-8676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 BOARDMAN CANFIELD RD",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445124004",
"telephone_number": "330-758-9400",
"fax_number": "330-726-8676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "STEPHANIE",
"middle_name": "S",
"credential": "L.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT008791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2450904",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.