Jerome Satorre
Individual provider Active NPI Occupational Therapist · Jefferson, MO
NPI 1336364819 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1336364819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2005016871 (MO)
- Practice address
- 505 Ellis Blvd
Apt B20
Jefferson, MO 65101 - Phone
- (573) 234-6597
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005016871 | MO | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2005016871 | MO | Yes |
Addresses
Primary practice location
505 Ellis Blvd
Apt B20
Jefferson, MO 65101
Mailing address
505 Ellis Blvd
Apt B20
Jefferson City, MO 65101-2109
Other providers in Jefferson, MO
All providers in Jefferson, MO · Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.