Eliott Porter, PTA

Physical Therapy Assistant · Rockford, IL

Individual Active NPI

NPI number 1356086219

Practice location

5510 E State St
Rockford, IL 61108-2381
Phone
(815) 395-4505

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NPI record

NPI
1356086219
Entity type
Individual (Type 1)
Enumeration date
May 4, 2022
Last updated
May 4, 2022
Certified
May 4, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160.007519 IL

About Eliott Porter

Eliott Porter, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 5510 E State St, Rockford, IL 61108-2381. The NPI number 1356086219 was assigned on May 4, 2022 and the record was last updated on May 4, 2022.

Eliott Porter lists a license in the registry: #160.007519 (IL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eliott Porter, PTA?

The NPI number is 1356086219.

What is the phone number of Eliott Porter?

The phone number listed for the practice location is (815) 395-4505.

Where is Eliott Porter located?

5510 E State St, Rockford, IL 61108-2381.

What is the taxonomy code for Eliott Porter?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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