SearchIllinoisPhysical Therapy Assistant

Eliott Porter, PTA

NPI 1356086219 · on the registry since 2022

Practice

Address
5510 E State St
Rockford, IL 61108
Phone
(815) 395-4505
Organisation at this address
Saint Anthony Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
40

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois