PORTER OCCUPATIONAL MEDICINE
NPI 1376744664
Physical Medicine & Rehabilitation in Portage, IN

Active since May 31, 2007CLIA 15D0355877 · Waiver
3220 LANCER ST, PORTAGE, IN 46368(219) 764-8439(219) 764-8463 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020, Jun 21, 2018 (3 updates tracked since 2018).

About Porter Occupational Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTER OCCUPATIONAL MEDICINE (NPI 1376744664) is a healthcare organization registered as a physical medicine & rehabilitation in Portage, Indiana and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Gary D Newsome, President, as its authorized official.

NPPES Registry Identity

NPI1376744664
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NamePORTER PHYSICIAN SERVICES LLC
Location Address3220 LANCER STPortage, IN 46368-4495
Mailing AddressPo Box 2028Portage, IN 46368-5528 · (219) 763-6858 · Fax (219) 763-4858
Fax(219) 764-8463
Organization SubpartNo
Authorized OfficialGary D NewsomePresident · (615) 465-7000
Enumeration DateMay 31, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1376744664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
3220 LANCER ST, Portage, IN 46368

Other Names 1

Doing Business AsPorter Occupational Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0355877

Porter Physician Services, LLC · Portage, IN
Active · expires Oct 2, 2026
CLIA Number15D0355877
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorLeonard W. Ostrowski
Laboratory Phone(219) 762-3175
Laboratory LocationPorter Physician Services, LLC6200 Central Avenue, Portage, IN 46368
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Preventive Medicine (Occupational Medicine)
3220 LANCER ST
PORTAGE, IN 46368
Preventive Medicine (Occupational Medicine)
3220 LANCER ST
PORTAGE, IN 46368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Porter Physician Services LLC's NPI number?

The NPI number for Porter Physician Services LLC is 1376744664. It was assigned to this organization in the NPPES registry on May 31, 2007. The provider is doing business as Porter Occupational Medicine.

Where is Porter Physician Services LLC located?

Porter Physician Services LLC is located at 3220 Lancer St, Portage, IN 46368. The listed phone number is (219) 764-8439.

What is Porter Physician Services LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Does Porter Physician Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0355877) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Porter Physician Services LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.