Dr Jordan C Porcaro, DPT | |
325 W Center St Ste 204, Spanish Fork, UT 84660-2000 | |
(385) 406-4006 | |
(801) 421-1752 |
Full Name | Dr Jordan C Porcaro |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 325 W Center St Ste 204, Spanish Fork, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639948268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13735962-2401 (Utah) | Primary |
Provider Name | Spine Orthopedic And Sports Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447275946 PECOS PAC ID: 1850320805 Enrollment ID: O20050810000154 |
Mailing Address | Practice Location Address |
---|---|
Dr Jordan C Porcaro, DPT 347 S 1480 E, Spanish Fork, UT 84660-6306 Ph: (818) 319-0113 | Dr Jordan C Porcaro, DPT 325 W Center St Ste 204, Spanish Fork, UT 84660-2000 Ph: (385) 406-4006 |
Jason G Williams, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 S 400 W, Spanish Fork, UT 84660 Phone: 801-798-1626 Fax: 801-798-1236 | |
Mrs. Allison May Jenson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 132 W Volunteer Dr B, Spanish Fork, UT 84660 Phone: 801-436-3110 | |
Mark Jones, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 S Main St, Spanish Fork, UT 84660 Phone: 801-354-7416 | |
Chantel Mitton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Expressway Ln, Spanish Fork, UT 84660 Phone: 801-794-0333 | |
Amelia Fullmer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 765 E Market Place Dr, Spanish Fork, UT 84660 Phone: 385-344-5430 | |
David Adam Tervort, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Expressway Ln, Spanish Fork, UT 84660 Phone: 801-357-0333 Fax: 801-794-9553 | |
Dr. Robert Mason Snow, DPT, OCS, ATC CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 205 N Main St, Spanish Fork, UT 84660 Phone: 801-436-3110 Fax: 801-436-3110 |