Organization Active NPI

Kelly D'Aquilla, OT LLC

  • Pediatric Rehabilitation Medicine Physician
  • Saint Francisville, LA
National Provider Identifier
1073178372
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
Legal business name
KELLY D'AQUILLA, OT LLC
Doing business as
Kelly D'Aquilla, OT LLC
Practice address
5637 Commerce Street
St. Francisville, LA 70775
Phone
(225) 978-7686
NPI assigned
May 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelly D'Aquilla, LOTRNPI 1598966954
Title
Owner
Phone
(225) 635-0149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P0010X Primary

Addresses

Primary practice location

5637 Commerce Street
St. Francisville, LA 70775

Mailing address

PO Box 276
Saint Francisville, LA 70775-0276
Phone (225) 635-0149

Other names 1

  • Kelly D'Aquilla, OT LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1073178372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707750276",
            "telephone_number": "225-635-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5637 COMMERCE STREET",
            "city": "ST. FRANCISVILLE",
            "state": "LA",
            "postal_code": "70775",
            "telephone_number": "225-978-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY D'AQUILLA, OT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "D'AQUILLA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-635-0149",
        "authorized_official_credential": "LOTR"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly D'Aquilla, OT LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Francisville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.