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THEODORE B PORTER D.O.
NPI 1689672479
Family Medicine in Philadelphia, PA

Active since July 14, 2005
1413 W MOYAMENSING AVE, 1ST FLOOR, PHILADELPHIA, PA 19145(267) 639-2555(267) 639-2632 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodore B Porter D.o. NPPES

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

THEODORE B PORTER D.O. (NPI 1689672479) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS003735L) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1689672479
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHEODORE B PORTERCredential: D.O.
Location Address1413 W MOYAMENSING AVE, 1ST FLOORPhiladelphia, PA 19145-4625
Mailing Address1413 W Moyamensing Ave, 1st FloorPhiladelphia, PA 19145-4625 · (267) 639-2555 · Fax (267) 639-2632
Phone(267) 639-2555
Fax(267) 639-2632
Sole ProprietorYes
Enumeration DateJuly 14, 2005
Last NPPES UpdateMarch 12, 2013
✔ NPI 1689672479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS003735L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1413 W MOYAMENSING AVE, Philadelphia, PA 19145
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Other Providers at the Same Location NPPES 10

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

MR. CARL C CONTINO MS, PT
Physical Therapist
1413 W MOYAMENSING AVE
PHILADELPHIA, PA 19145
Philadelphia County (267) 639-2555
PHYSICIANS BILLING AND COLLECTION SERVICES, INC
Internal Medicine
1413 W MOYAMENSING AVE, 1ST FLOOR
PHILADELPHIA, PA 19145
Philadelphia County (267) 639-2555
KOMAL PATEL PT
Physical Therapist
1413 W MOYAMENSING AVE, 1ST FLOOR
PHILADELPHIA, PA 19145
Philadelphia County (215) 639-2555
CHERTOW ORTHOPAEDICS AND SPORTS MEDICINE
Orthopaedic Surgery
1413 W MOYAMENSING AVE
PHILADELPHIA, PA 19145
Philadelphia County (267) 639-2555
PREMIER PHYSICAL THERAPY, P.C.
Clinic/Center (Physical Therapy)
1413 W MOYAMENSING AVE, 1ST FLOOR
PHILADELPHIA, PA 19145
Philadelphia County (267) 639-2555
COMPREHENSIVE MEDICAL SUPPLIES
Durable Medical Equipment & Medical Supplies
1413 W MOYAMENSING AVE, 1ST FLOOR
PHILADELPHIA, PA 19145
Philadelphia County (267) 639-2555
WILLIAM METZ PT
Physical Therapist
1413 W MOYAMENSING AVE, LOWER LEVEL
PHILADELPHIA, PA 19145
Philadelphia County (267) 639-2555
THEODORE B PORTER, DO, PC
Family Medicine
1413 W MOYAMENSING AVE, 1ST FLOOR
PHILADELPHIA, PA 19145
Philadelphia County (267) 639-2555

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 Theodore Porter's NPI number?

The NPI number for Theodore Porter is 1689672479. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Theodore Porter located?

Theodore Porter practices at 1413 W Moyamensing Ave 1st Floor, Philadelphia, PA 19145. The listed phone number is (267) 639-2555.

What is Theodore Porter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Theodore Porter was last updated on March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.