MS. JO L POUDRIER


Address: 310 W Main St, Sparta, WI 54656-2170
Phone: 6083665167

MS. JO L POUDRIER (NPI# 1972718443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972718443
Entity Type Individual
Full Name MS. JO L POUDRIER
Credential OT
Practice Address 310 W Main St
Sparta
WI 54656-2170
Mailing Address Po Box 1510
Eau Claire
WI 54702-1510
Practice Telephone 6083665167
Mailing Telephone 6087850940
Enumeration Date 2007-05-10
Last Update Date 2020-09-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 1455-026 WI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
310 W Main St, Sparta, WI 546562170 6082695309

Office Location

Street Address 310 W MAIN ST
City SPARTA
State WI
Zip Code 54656-2170

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518961978 James H Piper Nurse Anesthetist, Certified Registered 310 W Main St, Sparta, WI 54656-2170 2005-06-13
1003398488 Ariel Dawn Ferdock Pharmacist 310 W Main St, Sparta, WI 54656 2018-09-03
1750898680 Heidi Marie Stenerson Nurse Practitioner 310 W Main St, Sparta, WI 54656-2170 2017-12-30
1992243984 Alex Grunenwald Emergency Medicine 310 W Main St, Sparta, WI 54656-2170 2017-02-09
1801343066 Laura Kathryn Mitchell Nurse Practitioner 310 W Main St, Sparta, WI 54656-2170 2016-09-06
1760852719 Denise Weber Social Worker 310 W Main St, Sparta, WI 54656-2170 2015-10-03
1871963462 Anna Klusendorf Physical Therapist 310 W Main St, Sparta, WI 54656 2015-09-25
1013399419 Bahram Badri Family Medicine 310 W Main St, Sparta, WI 54656 2015-06-22
1902104102 Katarzyna Luce Physical Therapist 310 W Main St, Sparta, WI 54656 2011-03-11
1487989125 Derrick L Woodward Family Medicine 310 W Main St, Sparta, WI 54656 2009-10-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669929279 Jennifer Johnson Physical Therapy Assistant 14345 County Hwy B, Sparta, WI 54656 2016-09-01
1578019899 M&t Performance Chiropractic, LLC Chiropractor 213 N Black River St, Sparta, WI 54656 2016-08-28
1801223003 Emily M Nolte Counselor 112 S Court St. Room 3000, Sparta, WI 54656 2013-10-02
1518254945 Therapeutic Home Services Point of Service 9484 Festival Avenue, Sparta, WI 54656 2011-07-06
1639488273 Rebecca Ann Frey Reflexologist 5680 Canary Ave, Sparta, WI 54656 2010-09-30
1316276660 Gary J Korthals Pharmacist 201 S. Water St, Sparta, WI 54656 2009-12-16
1689847329 Donald N. La Force Hearing Instrument Specialist 117 West Oak St, Sparta, WI 54656 2008-04-02
1164400503 Alice M Bachop Nurse Practitioner 310 West Main Street, Sparta, WI 54656 2006-01-05
1578540894 Marc D Tumerman Family Medicine 310 West Main St, Sparta, WI 54656 2005-12-28
1972001881 Carmen Alyssa Adams Physician Assistant 1111 W Wisconsin St, Sparta, WI 54656 2018-01-25
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942822846 Kelly Hooks Occupational Therapist 1432 Doran Rd, Sparta, TN 38583-2706 2020-05-13
1346793791 Caroline A. Mandel Occupational Therapist 243 Sparta Ave Ste 2, Sparta, NJ 07871-1143 2016-08-02
1699134189 Debra Johnson Occupational Therapist 35 Mount Pleasant Rd, Sparta, NJ 07871-3844 2016-02-12
1063877033 Denise Maraziti Occupational Therapist 65 Brookside Dr, Sparta, NJ 07871-2912 2015-12-17
1801268974 Heather Oricchio Occupational Therapist 684 Glen Rd, Sparta, NJ 07871 2015-10-28
1093184343 Mary Katherine Nilo Occupational Therapist 3742 Chestnut Grove Church Rd, Sparta, NC 28675-8722 2015-09-16
1669648556 Kim A Mertes Occupational Therapist 1200 W River Rd, #26, Sparta, WI 54656-2286 2008-05-01
1053538850 Megan J Steele Occupational Therapist 9484 Festival Ave, Sparta, WI 54656-4551 2007-04-20
1851448310 Jennie Lynn Smith Occupational Therapist 295 N. Main St., Sparta, NC 28675 2007-01-05
1679620132 Alleghany Star Group, LLC Occupational Therapist 295 N. Main Street, Sparta, NC 28675 2007-01-05
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Competitor

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City SPARTA
Zip Code 54656

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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