Janice Poore, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

117974 Issued in MO

Practice address

7730 Forsyth Blvd
Clayton, MO 63105-1810

Phone

(800) 677-1238

NPI assigned

Oct 13, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1598075400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 LINDENWOOD DR",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 FORSYTH BLVD",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051810",
            "telephone_number": "800-677-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORE",
        "first_name": "JANICE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "117974",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.003068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey D Piper, MSW, LCSW
• Ariel Pittaway, PTA
• Christina Poelker, BCBA/LBA
• Barry A. Polinsky, D.D.S.
• Michael Pollard, L.C.S.W.
• Post Acute Wound Care Services LLC
• Janza Lee Preston
• Profectus Counseling, LLC
• PT Counselor LLC
• PT Home Services of Mo, Inc.

• Physical Therapy Assistant in Clayton, MO
• Providers in Clayton, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.