Jordan Poore, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2018022900 Issued in MO

Practice address

6613 Laconia Dr
Saint Louis, MO 63123-2621

Phone

(573) 579-4461

NPI assigned

Jul 9, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Function First Therapy, LLC

  • Pediatric Occupational Therapist
  • Saint Louis, MO
  • NPI 1912604281
  NPD Authorized official
• Kenny Rogers Children'S Center

  • Occupational Therapy Assistant
  • Sikeston, MO
  • NPI 1013026194

  Occupational Therapist

  NPD (past)
• Mercy Clinic Children'S Surgery, LLC

  • Pediatric Surgery Physician
  • St. Louis, MO
  • NPI 1649349804
  NPD (past)

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1124514641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6613 LACONIA DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631232621",
            "telephone_number": "573-579-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6613 LACONIA DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631232621",
            "telephone_number": "573-579-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORE",
        "first_name": "JORDAN",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2018022900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantell L Poole
• Joyce L Poole, LCSW
• Kate Poole, OT
• Mackenzie Kaelyn Poole, MD, MBA
• Mark Ellsworth Poole
• Morgan Rebecca Poore, OD
• Nongnooch Poowanawittayakom, MD
• Abbi Lyn Pope ( Piper)
• Myesha Pope, MSW
• Spencer Ryan Pope, DO

• Occupational Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.