Secia Porreco, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

5320 Education Dr
Cheyenne, WY 82009-4058

Phone

(307) 772-0955

Fax

(907) 772-0953

NPI assigned

May 17, 2023

Last updated

Aug 14, 2023By the provider in NPPES

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

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wyoming Physical Therapy PCGroup PAC ID 1355444084, 8 clinicians

Blair Investments IncGroup PAC ID 9234161035, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: secia.porreco.1@30926.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wyoming Physical Therapy PC

  dba Brookside Physical Therapy

  • Specialist
  • Cheyenne, WY
  • NPI 1467515882

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Blair Investments Inc

  dba Hands On Physical Therapy

  • Physical Therapy Clinic/Center
  • Cheyenne, WY
  • NPI 1912052242
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1801587084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 S GREELEY HWY STE A",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820073063",
            "telephone_number": "970-372-1146",
            "fax_number": "970-223-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 EDUCATION DR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094058",
            "telephone_number": "307-772-0955",
            "fax_number": "907-772-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORRECO",
        "first_name": "SECIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor J Polson, PT, DPT
• Pony Express Pediatrics, LLC
• Shane Timothy Pool
• Gergana Patrova Popova-Orahovats, MD
• Sarah Popp, RN
• Danielle Porter
• Judith Porter
• Lisa Porter
• Virginia Lee Porter, LMHP, MSW
• William Porter

• Physical Therapist in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.