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

Eliott Porter, PTA

Individual provider Physical Therapy Assistant · NPI 1356086219

Eliott Porter, PTA is a Physical Therapy Assistant in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

5510 E State St
Rockford, IL 61108-2381
Phone: (815) 395-4505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.007519 (IL)

Record details

NPI number1356086219
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 4, 2022
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022
Mailing address5510 E State St, Rockford, IL 61108-2381

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