Charles Henry Porter IV, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1187868 Issued in TX

Practice address

1540 Eastchase Pkwy Ste 4a
Fort Worth, TX 76120-4404

Phone

(972) 979-6577

Fax

(817) 672-0938

NPI assigned

Feb 5, 2010

Sex

Male

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 TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ideal Physical Therapy of Texas LLC

  • Physical Therapist
  • Plano, TX
  • NPI 1538573746
  Medicare reassignment Care Compare group NPD
• Vista JV Partners LLC

  • Multi-Specialty Clinic/Center
  • Lake Worth, TX
  • NPI 1326753377

  Physical Therapist, TX

  Medicare reassignment NPD
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Murphy, TX
  • NPI 1902773161
  Care Compare group NPD
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Rowlett, TX
  • NPI 1003579590
  Care Compare group
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Allen, TX
  • NPI 1386261279
  Care Compare group
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Sunset Valley, TX
  • NPI 1508555897
  Care Compare group
• Vista Rehab Partners LP

  • Physical Therapist
  • Melissa, TX
  • NPI 1770259293
  NPD
• Vista Rehab Partners, LP

  • Physical Therapist
  • Ft Worth, TX
  • NPI 1710223318
  NPD
• Vista Rehab Partners, LP

  • Physical Therapist
  • Haltom City, TX
  • NPI 1831435437
  NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ideal Physical Therapy of Texas LLC 359 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.56 of 100Reported as group

Quality

89.48

Improvement activities

40

Cost

71.16

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1740512482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 EASTCHASE PKWY STE 4A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761204404",
            "telephone_number": "972-979-6577",
            "fax_number": "817-672-0938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7277 Hawkins View Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761323921",
            "country_code": "US",
            "telephone_number": "817-423-5611",
            "fax_number": "817-423-5577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CHARLES",
        "middle_name": "HENRY",
        "name_suffix": "IV",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-05",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1187868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Poquiz
• Raymund Mart Poquiz, MD
• Elise Seymore Porras, RN, CPNP
• Alicia Porter
• Carlie Brooke Porter, RN
• Courtney L Porter, CPNP
• Da Shan Monquie Porter
• Donna Mae Porter, RMT
• Earnest A Porter
• Jennifer M Porter, L.P.C.

• All providers in Fort Worth, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.