Eileen Porter, O.T.R.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 6338 Issued in CA

Practice address

2139 Charles Dewitt Way
Alpine, CA 91901-3063

Phone

(619) 889-5829

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

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 CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Orthopedic Specialists IncGroup PAC ID 0941450498, 66 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Synergy Orthopedic Specialists, Inc.

  • Specialist
  • San Diego, CA
  • NPI 1114282779
  Medicare reassignment Care Compare group NPD
• Proactive Physical Therapy & Sports Medicine Inc

  • Physical Therapy Clinic/Center
  • Carlsbad, CA
  • NPI 1285729509
  Medicare reassignment NPD
• Synergy Orthopedic Specialists, Inc.

  • Specialist
  • Temecula, CA
  • NPI 1194447888
  NPD
• Barbara Jean Boutelle Carlsbad Physical Therapy

  • Physical Therapist
  • San Diego, CA
  • NPI 1699723098

  Occupational Therapist

  NPD (past)
• DPT Holdings PLLC

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1770631160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 CHARLES DEWITT WAY",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013063",
            "telephone_number": "619-889-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 CHARLES DEWITT WAY",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013063",
            "telephone_number": "619-889-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "EILEEN",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 6338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel M Peterson
• Erin Marie Petri
• Sally Sabri Philip, RDH
• Davon Phomvongsa
• Gabriela Ponce, LMFT
• Riley Elizabeth Porter
• Maly Vilichay Quinto, RDH23328
• Trinette L Radasa, ACNS, FNP, PMHNP
• Kate Nelly Rasmuzzen, RDH
• Jennifer Rauch, LCSW

• Occupational Therapist in Alpine, CA
• Providers in Alpine, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.