Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jordan Samuel Lowry

Individual provider Occupational Therapy Assistant · NPI 1932868080

Mr. Jordan Samuel Lowry is an Occupational Therapy Assistant in Moro, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021

Practice location Address checks out

6330 High St
Moro, IL 62067-1416
Phone: (618) 960-5080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057005672 (IL)

Record details

NPI number1932868080
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 15, 2021
Last updated in NPPESDecember 15, 2021
Certification dateSeptember 23, 2021