Healthcare Provider Details

I. General information

NPI: 1699632893
Provider Name (Legal Business Name): ARRINGTON PORTER PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 N STATE ROAD 434 STE 1128
ALTAMONTE SPRINGS FL
32714-7061
US

IV. Provider business mailing address

990 N STATE ROAD 434 STE 1128
ALTAMONTE SPRINGS FL
32714-7061
US

V. Phone/Fax

Practice location:
  • Phone: 321-842-3967
  • Fax: 321-842-3968
Mailing address:
  • Phone: 321-842-3967
  • Fax: 321-842-3968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT44060
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: