Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Henry Porter IV, DPT

Individual provider Physical Therapist · NPI 1740512482

Charles Henry Porter IV, DPT is a Physical Therapist in Private Practice in Fort Worth, Texas. Qualified in 2003, 23 years ago. Practices with Ideal Physical Therapy of Texas LLC, a 360-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
23
Licensed in
TX
In the registry since
2010
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1540 Eastchase Pkwy Ste 4A
Fort Worth, TX 76120-4404
Phone: (972) 979-6577
Fax: (817) 672-0938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7277 Hawkins View Dr, Fort Worth, TX 76132-3921 — (817) 423-5611

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1187868 (TX)

Record details

NPI number1740512482
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 5, 2010
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Ideal Physical Therapy Of Texas Llc — 360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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