MR. LEONARDO TONY PORRECO (NPI# 1215101555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215101555 |
| Entity Type | Individual |
| Full Name | MR. LEONARDO TONY PORRECO |
| Credential | PT |
| Practice Address |
3620 Ne 122nd Ave Suite C Portland OR 97230-1365 |
| Practice Telephone | 5032524100 |
| Practice Fax Number | 5032523390 |
| Mailing Telephone | 5032524100 |
| Mailing Fax Number | 5032523390 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2015-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3620 NE 122ND AVE SUITE C |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588617658 | Fang Kun Chen | Acupuncturist | 3620 Ne 122nd Ave, Suite D, Portland, OR 97230-1365 | 2006-05-18 |
| 1649507617 | Oregon Physical Therapy & Sports | Clinic/Center | 3620 Ne 122nd Ave, Suite C, Portland, OR 97230-1365 | 2009-11-11 |
| 1174797690 | Chen's Acupuncture Center, P.C. | Acupuncturist | 3620 Ne 122nd Ave, Suite D, Portland, OR 97230-1365 | 2008-04-16 |
| 1700912235 | The Oregon Physical Therapy & Sports Medicine Center | Physical Therapist | 3620 Ne 122nd Ave, Suite C, Portland, OR 97230 | 2007-02-26 |
| 1295811180 | Parkrose Family Dentistry, P.C. | Dentist | 3620 Ne 122nd Ave, Portland, OR 97230-1365 | 2006-10-31 |
| 1104901040 | Thomas Thanh Tieu | Dentist | 3620 Ne 122nd Ave, Portland, OR 97230-1365 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170411 | Mind Body Therapy | Physical Therapist | 11959 Sw Garden Pl, Portland, OR 97223-8249 | 2020-09-24 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1093204562 | Jessica Hund | Physical Therapist | 9385 Sw Greenburg Rd Ste 100, Portland, OR 97223-3200 | 2018-05-09 |
| 1659899151 | Mariel Hammond | Physical Therapist | 7522 N Lombard St, Portland, OR 97203-3235 | 2017-09-05 |
| 1437516515 | Caleb Joseph Wright | Physical Therapist | 8628 Se 17th Ave, Portland, OR 97202-0000 | 2016-01-20 |
| 1881840692 | Jennifer Lynne Davis | Physical Therapist | 7718 Se 13th Ave, Portland, OR 97202-6348 | 2008-08-12 |
| 1093977316 | Julie A Jacobson | Physical Therapist | 10428 Ne Pacific St, Portland, OR 97220-4028 | 2008-06-27 |
| 1427225606 | Kofoed Enteprises PC | Physical Therapist | 1020 Sw Taylor Street Suite 665, Portland, OR 97205-2529 | 2008-05-15 |
| 1770619595 | Shawn Patrick Cooney | Physical Therapist | 3108 Ne 181st Ave, Portland, OR 97230-6926 | 2007-02-26 |
| 1811039035 | Kevin A Schmidt | Physical Therapist | 2622 Se 25th Ave, Suite B, Portland, OR 97202-1217 | 2007-02-13 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on MR. LEONARDO TONY PORRECO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.