Daniel Lee Porter, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056009406 Issued in IL

Practice address

3905 W Ernestine Dr
Suite B
Marion, IL 62959-5800

Phone

(618) 993-6237

NPI assigned

Jul 11, 2011

Sex

Male

Sole proprietor

Yes

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)

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.

• Occupational Performance and Rehab, PC

  • Occupational Therapist
  • Marion, IL
  • NPI 1689746216
  NPD (past)
• Performance Chiropractic of Southern Illinois LLC

  • Chiropractor
  • Marion, IL
  • NPI 1538314414
  NPD (past)
• Advanced Spine & Joint

  • Family Nurse Practitioner
  • Paducah, KY
  • NPI 1447484118
  NPD (past)

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1679861710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 W ERNESTINE DR",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595800",
            "telephone_number": "618-993-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 W ERNESTINE DR",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595800",
            "telephone_number": "618-993-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "DANIEL",
        "middle_name": "LEE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056009406",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R4859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devyn Pochie
• Jaime Pollmann
• Sarah Poole, BSW
• Jane Ann Pope, M.S., CCC-SLP
• Adam Ray Porter
• Brittany Elizabeth Powell, NP
• John David Power, O.D.
• Emily Powles, RN
• Prairie Spine & Pain Institute of Southern Illinois, LLC
• Beth Preston, LCSW

• Occupational Therapist in Marion, IL
• Providers in Marion, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.