Tara Porfido, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01819600 Issued in NJ

Practice address

251 Rock Rd Ste 2C
Glen Rock, NJ 07452-1797

Phone

(201) 445-0900

Fax

(201) 445-0919

NPI assigned

Nov 10, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Balance and Concussion Therapy Center, LLC

  • Neurology Physical Therapist
  • Hackensack, NJ
  • NPI 1609595057
  NPD
• Glen Rock Physical Therapy and Sports Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Glen Rock, NJ
  • NPI 1831335694
  NPD

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

{
    "created_epoch": "1541808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1740758408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WESTVIEW TER",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 ROCK RD STE 2C",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521797",
            "telephone_number": "201-445-0900",
            "fax_number": "201-445-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORFIDO",
        "first_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-10",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01819600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rose Peraino, MA, ED.M
• Philip J. Aretsky, MD PA
• Playhouse Therapy PA
• Plus Acupuncture & Herbs LLC
• Phillip John Polentarutti, DPT
• Almerindo G. Portfolio Jr., M.D.
• Karllo Pozo, PT, DPT
• Glenn David Prettitore, MSPT
• Professional Occupational & Physical Therapy, PLLC
• Progressive Spine & Orthopaedics, LLC

• Physical Therapist in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.