Jacob Randall Ponder, LOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTT.Z12342 Issued in LA

Practice address

307 Register St
West Monroe, LA 71291-2737

Phone

(318) 329-8998

Fax

(318) 329-8997

NPI assigned

Aug 8, 2006

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)

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.

• Nela Sportcenter, L.L.C.

  • Rehabilitation Clinic/Center
  • West Monroe, LA
  • NPI 1861682148
  NPD (past) Authorized official
• Melanie Massey Infant & Toddler LLC

  • Speech-Language Pathologist
  • West Monroe, LA
  • NPI 1447453865

  Occupational Therapist

  NPD (past)
• Melanie Massey Physical Therapy Inc

  • Physical Therapist
  • Monroe, LA
  • NPI 1104922475

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912917741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FIDDLERS CREEK DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712911769",
            "telephone_number": "318-397-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 REGISTER ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712912737",
            "telephone_number": "318-329-8998",
            "fax_number": "318-329-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONDER",
        "first_name": "JACOB",
        "middle_name": "RANDALL",
        "name_prefix": "Mr.",
        "credential": "LOTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.Z12342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Anne Place, LOTR
• Rachel Place, SLP
• Amy N Pleasant, RPH
• Douglas Harry Pollock
• Kristin Pollock, LMSW
• Positive Outcomes
• Katelann Powell, MSN, RN
• Summer Powell, LOTR
• Precision Relief Pain Management of Lousiana Inc
• Premier Pediatric Therapy LLC

• Occupational Therapist in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Occupational Therapist in Louisiana

• 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.