Therapeutic Innovations LC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2004033190 Issued in MO

Legal business name

THERAPEUTIC INNOVATIONS LC

Practice address

563 Cliff Cave Rd
Saint Louis, MO 63129-4415

Phone

(314) 293-2463

NPI assigned

Jul 30, 2009

Last updated

Jul 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Michael D'Aquila, M.P.T.

Title

Physical Therapist

Phone

(314) 471-1881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1205067857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 CLIFF CAVE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294415",
            "telephone_number": "314-293-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 CLIFF CAVE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294415",
            "telephone_number": "314-293-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC INNOVATIONS LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "D'AQUILA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "314-471-1881",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "2004033190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel L Theodoro, MD
• Leonidas Theodoro, MD
• Panayotis Christos Theodoropoulos, MD, PHD
• Gus Theodos, M.D.
• Therapeutic and Diagnostic Imaging LLC
• Therapeutic Specialties Inc
• Therapy Quarter, LLC (Kristen Hood, LCSW)
• Theratel LLC (TheraTel)
• Linda Therkildsen, DO
• Tori E Therrien, PA

• Physical Therapy Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.