Anthony Porcaro, PT
Individual provider Active NPI Physical Therapist · New Berlin, WI
NPI 1922476027 · NPPES record last updated Mar 28, 2016
Key facts
- NPI
- 1922476027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13240-24 (WI)
- Practice address
- 15312 W Beloit Rd
New Berlin, WI 53151-7447 - Phone
- (262) 641-5771
- NPI assigned
- Sep 4, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13240-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porcaro Performance and Rehabilitation | Physical Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13240-24 | WI | Yes |
Addresses
Primary practice location
15312 W Beloit Rd
New Berlin, WI 53151-7447
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other providers in New Berlin, WI
- Anne Marie Pleva
- Mary Elizabeth Plouff
- Kathy Rae Pluer
- Alicia K. Plummer
- Nicholas Ronald Popp
- Positively PT LLC
- Annette Postma
- Samantha Powell
- Gabrielle Prehn
- Jean Marie Prekop
All providers in New Berlin, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.