| Mr Brent William Porter, OTR/L | |
|
9624 Bailey Rd Ste 273, Cornelius, NC 28031-6120 | |
| (803) 329-9500 | |
| (803) 228-0101 |
| Full Name | Mr Brent William Porter |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 15 Years |
| Location | 9624 Bailey Rd Ste 273, Cornelius, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336777846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 6823 (South Carolina) | Secondary |
| 225X00000X | Occupational Therapist | 8994 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thrive Now Therapy | 6103237003 | 2 |
| Provider Name | Thrive Now Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1043831001 PECOS PAC ID: 6103237003 Enrollment ID: O20201125001495 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brent William Porter, OTR/L 14311 Reese Blvd W Ste A2, Huntersville, NC 28078-7955 Ph: (704) 980-0680 | Mr Brent William Porter, OTR/L 9624 Bailey Rd Ste 273, Cornelius, NC 28031-6120 Ph: (803) 329-9500 |
Jessica Nickolson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17315 Shadow Bark Dr, Cornelius, NC 28031 Phone: 717-262-3713 | |
Thrive Now Therapy Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9624 Bailey Rd Ste 273, Cornelius, NC 28031 Phone: 704-980-0680 | |
Nicole L Huntley, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: Po Box 1575, Cornelius, NC 28031 Phone: 704-957-8344 | |
Mrs. Wendi Woods Mulligan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17720 Largo Place, Cornelius, NC 28031 Phone: 413-335-5343 Fax: 704-459-5074 | |
Ms. Veronica Lynn Harrison, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19822 Sandyedge Dr, Cornelius, NC 28031 Phone: 914-357-3965 | |
Sherri Beckman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20408 Queensdale Dr, Cornelius, NC 28031 Phone: 561-699-4983 | |
Rehab Dimensions, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16309 Peachmont Dr, Cornelius, NC 28031 Phone: 704-892-7896 |