Individual provider Active NPI

Theodore Francis Valley II, DC, BS, LMT

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1114474855
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2016018389 Issued in MO
Practice address
8853 Ladue Rd
Saint Louis, MO 63124-2065
Phone
(314) 862-6000
NPI assigned
Sep 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2016018389 MO Primary

Addresses

Primary practice location

8853 Ladue Rd
Saint Louis, MO 63124-2065

Mailing address

10759 Sunset Hills PLZ
Saint Louis, MO 63127-1207
Phone (314) 965-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180716000078 MO Practitioner - Chiropractic 1557618055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Brothers Chiropractic LLCGroup PAC ID 3173034311, 2 clinicians

Practice addresses (Care Compare)

1084 N Ballas Rd
Des Peres, MO 63131-3706
Phone (314) 966-5526

5650 Mexico Rd
Suite 2
Saint Peters, MO 63376-1696
Phone (636) 875-1270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Healthcare Physical Medicine of West County, LLC CurrentSince Mar 1, 2025 Accepting new patients
Superior Healthcare Physical Medicine of West County, LLC CurrentSince Mar 1, 2025 Accepting new patients
Three Brothers Chiropractic LLC Chiropractor CurrentSince Mar 1, 2026 Accepting new patients

Locations

1084 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 966-5526

2121 Barrett Station Rd
Saint Louis, MO 63131
Phone (314) 394-1923

5650 Mexico Rd
Ste 2
Saint Peters, MO 63376
Phone (636) 875-1270

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1114474855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10759 SUNSET HILLS PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271207",
            "telephone_number": "314-965-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8853 LADUE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242065",
            "telephone_number": "314-862-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEY",
        "first_name": "THEODORE",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC, BS, LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-09",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016018389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.