IndividualActive
Alexander Porter, OTR/L
NPI 1053783142 · Pediatric Occupational Therapist · North Aurora, IL
Provider details
- NPI number
- 1053783142
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- No
- License
- 056.011260 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
66 Miller Dr
Suite 102
North Aurora, IL 60542-5143
Phone: (630) 907-9165
Fax: (630) 907-9195
Approximate (ZIP-level) locationGet directions
Mailing address
66 Miller Dr
North Aurora, IL 60542-5143
Registry dates
- Enumerated
- 2015-10-28
- Last updated
- 2015-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.