Norberto Portales

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2047165 Issued in TX

Practice address

3633 S Staples St
Corpus Christi, TX 78411-2438

Phone

(361) 814-9898

NPI assigned

Dec 17, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Stride Physical Therapy & Rehabilitation

  • Physical Therapist
  • Corpus Christi, TX
  • NPI 1366404394
  NPD (past)

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1760299259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112438",
            "telephone_number": "361-814-9898",
            "fax_number": "361-814-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112438",
            "telephone_number": "361-814-9898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14302 Nemo Ct",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784186238",
            "country_code": "US",
            "telephone_number": "361-949-9898",
            "fax_number": "361-949-9897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTALES",
        "first_name": "NORBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2047165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirstie Angeli Ponte
• Anita Pool, FNP-C
• Nancy Porras
• Port Avenue Drugs Inc
• Port Homecare Services, Inc.
• Tashenina Porter-Lloyd
• John Richard Porter, MD
• Mary Beth Porter, MA, LCDC, LPC ASSOC
• Sandra Portillo-Barrera, CFNP
• Portland Chiropractic Center, LTD.

• All providers in Corpus Christi, TX
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.