AUDREY POORE (OTR/L) – Occupational Therapist, NPI 1629768270

AUDREY POORE (OTR/L) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 5290 (OK). The NPI Number for AUDREY POORE (OTR/L) is 1629768270

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
AUDREY POORE (OTR/L)
NPI
1629768270
Phone
(855) 811-9699
Address
4301 N CLASSEN BLVD
Enumeration Date
8 May 2023
Last Update Date
25 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052869699
Graduation Year
2018 (8 years ago)
PAC ID
9638539984
Group Practice PAC ID
9133314594
Professional Enrollment ID
I20230718001820
Address ID
OK731185031OK4301XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

98 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in OK

Provider Addresses for AUDREY POORE (OTR/L)

  • 4301 N CLASSEN BLVD

    OKLAHOMA CITY, OK 731185031

    Phone: (855) 811-9699

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230718001820IOccupational Therapist In Private PracticeOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97535Training for self-care or home management, each 15 minutes1,09393$0
97166Evaluation for occupational therapy, typically 45 minutes7272$0
View full utilization report →

Insurance plans in this area (ZIP 73118)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133314594View full group profile

Reviews

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Frequently asked questions

How do payers reference AUDREY POORE (OTR/L)?
For AUDREY POORE (OTR/L), use NPI 1629768270 as the unique 10-digit identifier.
Is AUDREY POORE (OTR/L) shown as active in public data?
Registry records indicate AUDREY POORE (OTR/L) maintains an active NPI.
What clinical focus is listed for AUDREY POORE (OTR/L)?
At a glance, AUDREY POORE (OTR/L) is tied to Occupational Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with AUDREY POORE (OTR/L)?
Directory geography for AUDREY POORE (OTR/L) centers on Oklahoma City, Oklahoma.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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