Individual provider Active NPI

Patrick Berry Porter, PT

  • Physical Therapist
  • Asheboro, NC
National Provider Identifier
1932972171
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22559 Issued in NC
Practice address
503 N Fayetteville St
Asheboro, NC 27203-4728
Phone
(336) 626-3700
Fax
(336) 626-6453
NPI assigned
Oct 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P22559 NC Primary

Addresses

Primary practice location

503 N Fayetteville St
Asheboro, NC 27203-4728

Mailing address

218 Foust St Ste C
Asheboro, NC 27203-5476
Phone (336) 625-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128000853 NC Practitioner - Physical Therapist in Private Practice 3870941180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Healthcare Systems LLCGroup PAC ID 7719383538, 64 clinicians

Practice addresses (Care Compare)

503 N Fayetteville St
Asheboro, NC 27203-4728
Phone (336) 626-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
American Healthcare Systems, LLC Physical Therapist CurrentSince Nov 7, 2023 Accepting new patients
American Healthcare Systems, LLC Current Accepting new patients
American Healthcare Systems, LLC CurrentSince Nov 7, 2023 Accepting new patients
American Healthcare Systems, LLC Past Accepting new patients

Locations

503 N Fayetteville St
Asheboro, NC 27203
Phone (336) 626-2688

237 N Fayetteville St
Ste A
Asheboro, NC 27203
Phone (336) 625-3248

218 Foust St
Ste C
Asheboro, NC 27203
Phone (336) 625-2333

191 NC Highway 42 N
Ste B
Asheboro, NC 27203
Phone (336) 629-6397

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1932972171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 FOUST ST STE C",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035476",
            "telephone_number": "336-625-2333",
            "fax_number": "336-625-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N FAYETTEVILLE ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034728",
            "telephone_number": "336-626-3700",
            "fax_number": "336-626-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "PATRICK",
        "middle_name": "BERRY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.