Individual provider Active NPI

James Vincent Porco, PT, DPT

  • Physical Therapist
  • Waltham, MA
National Provider Identifier
1720634959
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1092 Lexington St
Waltham, MA 02452-7206
Phone
(781) 906-8442
Fax
(781) 374-8726
NPI assigned
Aug 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MA Primary
Physical Therapist 225100000X 050599 NY
Physical Therapist 225100000X PT35048 FL

Addresses

Primary practice location

1092 Lexington St
Waltham, MA 02452-7206

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

9724 Commerce Center Ct
Fort Myers, FL 33908-3608
Phone (239) 223-0484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190927001696 FL Practitioner - Physical Therapist in Private Practice 5092045492
I20230912000324 NY Practitioner - Physical Therapist in Private Practice 5092045492 Reassigns benefits to 1 organization
I20240327003551 MA Practitioner - Physical Therapist in Private Practice 5092045492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 University Dr
Suite A6
Amherst, MA 01002-2385
Phone (413) 336-5703

1092 Lexington St
Waltham, MA 02452-7206
Phone (781) 906-8442

760 Montauk Hwy
Water Mill, NY 11976-2600
Phone (631) 812-5566

Merit-based Incentive Payment System (MIPS)

Final score
85.19 of 100Reported as group
Quality
86.04
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT35048FLMDPhysical Therapist
050599NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Mar 13, 2024 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Mar 13, 2024 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist Current Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Sep 11, 2023 Accepting new patients
Back in Motion Sport & Spine Physical Therapy LLC Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients

Locations

4784 Pelican Sound Blvd
Estero, FL 33928
Phone (239) 233-0484

9724 Commerce Center Ct
Ste 2
Fort Myers, FL 33908

9400 Gladiolus Dr
Ste 100
Fort Myers, FL 33908
Phone (239) 223-0484

9724 Commerce Center Ct
Fort Myers, FL 33908
Phone (239) 223-0484

9724 Commerce Center Ct
Ste B
Fort Myers, FL 33908
Phone (239) 223-0484

790 Remington Blvd
Bolingbrook, IL 60440

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

1092 Lexington St
Waltham, MA 02452
Phone (781) 906-8442

1063 Willis Ave
Albertson, NY 11507
Phone (516) 656-7776

939 Atlantic Ave
Baldwin, NY 11510
Phone (516) 517-0404

4276 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-5570

194 New Hyde Park Rd
Franklin Square, NY 11010
Phone (516) 738-5599

214 Glen Cove Ave
Glen Cove, NY 11542
Phone (516) 268-3555

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

3961 Long Beach Rd
Island Park, NY 11558
Phone (516) 599-8734

286A Portion Rd
Lake Ronkonkoma, NY 11779
Phone (631) 710-3317

286 Portion Rd
#A
Lake Ronkonkoma, NY 11779
Phone (631) 710-3317

225 Merrick Rd
Lynbrook, NY 11563
Phone (516) 599-8734

1730 Lakeville Rd
New Hyde Park, NY 11040
Phone (516) 326-4580

389 Fort Salonga Rd
Northport, NY 11768
Phone (631) 261-0444

1169 Wantagh Ave
Wantagh, NY 11793
Phone (516) 785-4800

760 Montauk Hwy
Water Mill, NY 11976
Phone (347) 754-7952

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1720634959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 LEXINGTON ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024527206",
            "telephone_number": "781-906-8442",
            "fax_number": "781-374-8726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9724 Commerce Center Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083608",
            "country_code": "US",
            "telephone_number": "239-223-0484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORCO",
        "first_name": "JAMES",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050599",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.