Active NPI
Andrew M Daquila, P.T.
- Physical Therapist
- Saint Charles, MO
National Provider Identifier
1003929530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2004033190
- Practice address
- 1840 Zumbehl Rd
Saint Charles, MO 63303-2761 - Phone
- (636) 947-7678
- Fax
- (636) 947-4350
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2004033190 | MO | Primary |
Addresses
Primary practice location
1840 Zumbehl Rd
Saint Charles, MO 63303-2761
Mailing address
1840 Zumbehl Rd
Saint Charles, MO 63303-2761
Phone (636) 947-7678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1003929530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 ZUMBEHL RD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633032761",
"telephone_number": "636-947-7678",
"fax_number": "636-947-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 ZUMBEHL RD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633032761",
"telephone_number": "636-947-7678",
"fax_number": "636-947-4350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAQUILA",
"first_name": "ANDREW",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2004033190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.