MEDICARE: PORTO PHYSICAL THERAPY & WELLNESS, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1437016177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PORTO PHYSICAL THERAPY & WELLNESS, P.A.

Provider Business Mailing Address
First Line	:	1445 RARITAN RD STE 2
Second Line	:
City	:	CLARK
State	:	NJ
Zip	:	07066-1230
Country	:	US
Telephone Number	:	908-202-3417
Fax Number	:

Provider Business Practice Location Address
First Line	:	1445 RARITAN RD STE 2
Second Line	:
City	:	CLARK
State	:	NJ
Zip	:	07066-1230
Country	:	US
Telephone Number	:	908-202-3417
Fax Number	:

Authorized Official
Title or Position	:	DPT/PROVIDER
Name	:	ALEX OLIVEIRA
Credential	:	DPT
Telephone Number	:	305-801-9405

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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