Individual provider · Type 1 NPI

Jeremiah M. Porter, PT, DPT

Physical Therapist · Southlake, TX

NPI number 1245021955 Active

Practice location

731 E Southlake Blvd Ste 150
Southlake, TX 76092-6380

Call (817) 442-8600 Map

Fax (817) 442-8603

Mailing address

PO Box 2650
Coppell, TX 75019-8607

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X1406818 (TX)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1245021955

Jeremiah M. Porter, PT, DPT's National Provider Identifier is 1245021955, issued on May 13, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Southlake, TX. The record was last updated on Jul 28, 2026.