Jennifer Marie Porter, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

5501016309 Issued in MI

Practice address

9150 Allen Rd
Allen Park, MI 48101-1436

Phone

(313) 386-2150

NPI assigned

Dec 8, 2018

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 MI

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.

• Tmi East, Inc.

  • Rehabilitation Clinic/Center
  • Saginaw, MI
  • NPI 1336709252
  Medicare reassignment NPD

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

{
    "created_epoch": "1544227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544227200000",
    "number": "1669943247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011436",
            "telephone_number": "313-386-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-08",
        "last_updated": "2018-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MI",
            "license": "5501016309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Pino
• Pioneer Healthcare Services Inc
• Pioneer Physical Therapy & Rehab PC
• Chloe Pisarzewski
• Patricia Poleno, N.P.
• Kevin Joel Potocsky, D.D.S.
• Pinnamaneni Ramakrishna Prasad, M.D.
• Precious U LLC
• Premier Integrated Healthcare Group PLLC
• Premier Spinal Pain Management Center, PLLC

• Geriatric Physical Therapist in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Geriatric Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2018; 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.