Alicia Joan Porter, OTR/L

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5201007898 Issued in MI

Practice address

900 Cook Rd
Grosse Pointe Woods, MI 48236-2739

Phone

(313) 821-7083

NPI assigned

Jul 25, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1992282685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29195 COOLIDGE ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662208",
            "telephone_number": "586-615-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOK RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362739",
            "telephone_number": "313-821-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ALICIA",
        "middle_name": "JOAN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5201007898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UNKNOWN",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Point in Time PLLC
• Pointe Medical Center PC
• Pointe Pharmacy Inc
• Pointe Vision Care PC
• Laila Amyre Ponder
• Jasmin D Porter
• Kayde Porter
• Paul T Porter, M.D.
• Asia Siera Pratt
• Stephanie J Price, P.T., D.P.T.

• Physical Medicine & Rehabilitation Physician in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.