Mr Jacob Randall Ponder, LOTR - Occupational Therapist in West Monroe, LA

Mr Jacob Randall Ponder, LOTR is a Occupational Therapist based in West Monroe, Louisiana. Mr Jacob Randall Ponder is licensed to practice in Louisiana (license number OTT.Z12342) and his current practice location is 307 Register St, West Monroe, Louisiana. He can be reached at his office (for appointments etc.) via phone at (318) 329-8998.

NPI number for Mr Jacob Randall Ponder is 1912917741 and his current mailing address is 300 Fiddlers Creek Dr, West Monroe, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912917741.

Contact Information

Mr Jacob Randall Ponder, LOTR
307 Register St,
West Monroe, LA 71291-2737
(318) 329-8998
(318) 329-8997

Map and Direction




Healthcare Provider's Profile

Full NameMr Jacob Randall Ponder
GenderMale
SpecialityOccupational Therapist
Location307 Register St, West Monroe, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912917741
  • Provider Enumeration Date: 08/08/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Jacob Randall Ponder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912917741NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OTT.Z12342 (Louisiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jacob Randall Ponder is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jacob Randall Ponder, LOTR
300 Fiddlers Creek Dr,
West Monroe, LA 71291-1769

Ph: (318) 397-9796
Mr Jacob Randall Ponder, LOTR
307 Register St,
West Monroe, LA 71291-2737

Ph: (318) 329-8998

Reviews and Comments


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