| Charles Henry Porter Iv, DPT | |
|
1540 Eastchase Pkwy Ste 4a, Fort Worth, TX 76120-4404 | |
| (972) 979-6577 | |
| (817) 672-0938 |
| Full Name | Charles Henry Porter Iv |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 22 Years |
| Location | 1540 Eastchase Pkwy Ste 4a, Fort Worth, Texas |
| 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 |
|---|---|---|---|
| 1740512482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1187868 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ideal Physical Therapy Of Texas Llc | 0547583809 | 301 |
| Provider Name | Vista Rehab Partners Lp |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1710223318 PECOS PAC ID: 2163403593 Enrollment ID: O20140107000306 |
| Provider Name | Ideal Physical Therapy Of Texas Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
| Provider Name | Vista Jv Partners Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1326753377 PECOS PAC ID: 3274998224 Enrollment ID: O20230427000944 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Henry Porter Iv, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206 | Charles Henry Porter Iv, DPT 1540 Eastchase Pkwy Ste 4a, Fort Worth, TX 76120-4404 Ph: (972) 979-6577 |
Dr. Kenneth Lawrence Miller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Camp Bowie Blvd, Fort Worth, TX 76107 Phone: 817-735-5466 | |
Benjamin Cheevers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4108 Boat Club Rd, Fort Worth, TX 76135 Phone: 817-370-9891 | |
Christina Thompson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6501 Harris Pkwy, Fort Worth, TX 76132 Phone: 817-370-9891 Fax: 817-370-9894 | |
Dennis J Curnyn, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4750 Bryant Irvin Rd N, Fort Worth, TX 76107 Phone: 817-923-9000 Fax: 817-923-9033 | |
Marcia G Mckay, L.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Htn, Client Accounting, Fort Worth, TX 76107 Phone: 817-569-4395 Fax: 817-569-4517 | |
Lacey Jo Hope, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5316 Trail Lake Dr, Fort Worth, TX 76133 Phone: 817-292-8787 Fax: 817-789-6849 | |
Mr. Cody Gohlke, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4625 Boat Club Rd, Fort Worth, TX 76135 Phone: 817-238-9295 Fax: 817-238-9299 |