Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Jo Porter, OTR/L

Individual provider Occupational Therapist · NPI 1639687395

Amanda Jo Porter, OTR/L is an Occupational Therapist in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

5 Doctors Park Rd
Mount Vernon, IL 62864-6224
Phone: (618) 242-1064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056012079 (IL)

Record details

NPI number1639687395
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJanuary 16, 2018
Last updated in NPPESJanuary 16, 2018

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