Lori Leann Porch, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

392 Claytons Way
Metamora, IL 61548

Phone

(309) 360-4228

NPI assigned

Mar 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other names 1

• Lori Leann White Former name

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639298722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 CLAYTONS WAY",
            "city": "METAMORA",
            "state": "IL",
            "postal_code": "61548",
            "telephone_number": "309-360-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 CLAYTONS WAY",
            "city": "METAMORA",
            "state": "IL",
            "postal_code": "61548",
            "telephone_number": "309-360-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCH",
        "first_name": "LORI",
        "middle_name": "LEANN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "WHITE",
            "middle_name": "LEANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pediatric Occupational Therapist in Metamora, IL
• Providers in Metamora, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.