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

Theodore B Porter, DO

Individual provider Family Medicine Physician · NPI 1689672479

Theodore B Porter, DO is a Family Medicine Physician in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1413 W Moyamensing Ave 1st Fl
Philadelphia, PA 19145-4625
Phone: (267) 639-2555
Fax: (267) 639-2632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS003735L (PA)

Record details

NPI number1689672479
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 14, 2005
Last updated in NPPESMarch 12, 2013

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