Jake Govro, OTD, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2025047546 Issued in MO

Practice address

456 N New Ballas Rd Ste 211
Saint Louis, MO 63141-6842

Phone

(314) 227-2124

NPI assigned

Nov 4, 2025

Sex

Male

Sole proprietor

No

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.

• Acorn Children'S Therapy

  • Pediatric Occupational Therapist
  • Saint Louis, MO
  • NPI 1881285625

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1801765177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD STE 211",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD STE 211",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416842",
            "telephone_number": "314-227-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVRO",
        "first_name": "JAKE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2025047546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel J Governal, BCBA
• Christie R Govero, FNP
• Ramaswamy Govindan, MD
• Shiv Govindji, MD
• Lance Micheal Govreau, D.C.
• Kushi Shashidhar Gowda, MD
• Supreeth Narayana Gowda, MBBS
• Gowdy Enterprises, LLC
• Melanie Gowdy, MSW
• Kelly K Gowens, ACNPC-AG

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.