CASSIDY PORTER (DPT) – Physical Therapist, NPI 1245093764

CASSIDY PORTER (DPT) is a healthcare provider. based in Hoover, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PTH11705 (AL). The NPI Number for CASSIDY PORTER (DPT) is 1245093764

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
CASSIDY PORTER (DPT)
NPI
1245093764
Phone
(205) 745-3660
Address
2823 GREYSTONE COMMERCIAL BLVD
Enumeration Date
6 February 2024
Last Update Date
6 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2056648404
Graduation Year
2023 (3 years ago)
PAC ID
9638513237
Group Practice PAC ID
3173523222
Professional Enrollment ID
I20240222002469
Address ID
AL351242033PE3569XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,476 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL

Provider Addresses for CASSIDY PORTER (DPT)

  • 2823 GREYSTONE COMMERCIAL BLVD

    HOOVER, AL 352422660

    Phone: (205) 745-3660

    Type: Mailing

  • 3569 PELHAM PKWY STE 7

    PELHAM, AL 351242033

    Phone: (205) 664-8404

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240222002469IPhysical Therapist In Private PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35242)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173523222View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
-AL
Physical Therapist In Private PracticeAL
Occupational Therapist In Private PracticeAL
-AL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
-AL
Physical Therapist In Private PracticeAL

Reviews

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Frequently asked questions

Does CASSIDY PORTER (DPT) have a public NPI I can cite?
Public records show CASSIDY PORTER (DPT) under NPI 1245093764.
Is CASSIDY PORTER (DPT) currently accepting referrals based on NPI status?
Registry metadata lists CASSIDY PORTER (DPT) as active.
What services align with CASSIDY PORTER (DPT)'s listing?
CASSIDY PORTER (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to CASSIDY PORTER (DPT)?
CASSIDY PORTER (DPT) shows a connection to Hoover, Alabama in registry-derived data.
Why is information missing for CASSIDY PORTER (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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