Jacquelin K Poole, OTR/L, MOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR-1144 Issued in WY

Practice address

6631 E 2ND St
Casper, WY 82609-4355

Phone

(307) 268-9904

Fax

(307) 268-9907

NPI assigned

Jul 21, 2015

Last updated

Jan 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

University of North Dakota School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathfinder Physical Therapy LLCGroup PAC ID 9234407495, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pathfinder Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Casper, WY
  • NPI 1922549484
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1114302031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6631 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094355",
            "telephone_number": "307-268-9904",
            "fax_number": "307-268-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094355",
            "telephone_number": "307-268-9904",
            "fax_number": "307-268-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "JACQUELIN",
        "middle_name": "K",
        "credential": "OTR/L, MOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR-1144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Plett
• Plume Health PC
• Eugene P Podrazik, M.D.
• Christopher Aaron Poe, LPC
• Rebecca Anne Pollack, MS, CGC
• Michelle Cristine Poole
• Carla Poot, MSN, APRN, PMHNP-BC
• Jason D. Poot, M.S., L.P.C
• Popp Chiropractic and Rehabilitation PC
• Scott Dean Popp, D.C

• Occupational Therapist in Casper, WY
• Providers in Casper, WY by specialty
• Occupational Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.