KELLY D'AQUILLA, OT LLC (NPI# 1073178372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073178372 |
| Entity Type | Organization |
| Organization Name | KELLY D'AQUILLA, OT LLC |
| Practice Address |
5637 Commerce Street St. Francisville LA 70775 |
| Mailing Address |
Po Box 276 Saint Francisville LA 70775-0276 |
| Practice Telephone | 2259787686 |
| Mailing Telephone | 2256350149 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | KELLY D'AQUILLA (OWNER) |
| Authorized Official Telephone | 2256350149 |
| Authorized Official Credential | LOTR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kelly D'Aquilla, OT LLC | Doing Business As Name - Organization |
| Street Address |
5637 COMMERCE STREET |
| City | ST. FRANCISVILLE |
| State | LA |
| Zip Code | 70775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215382924 | Lauren Davis Paxton | Speech-Language Pathologist | 5637 Commerce Street, St. Francisville, LA 70775-4413 | 2016-05-01 |
| 1083157143 | Children's Tl | Physical Therapist | 5637 Commerce Street, St. Francisville, LA 70775 | 2016-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588263099 | Magnolia Wellness, LLC | Social Worker | 5689a Commerce Street, St. Francisville, LA 70775 | 2020-10-26 |
| 1336748128 | Erikka Sund Neal | Social Worker | 5689 Commerce St, Suite A, Saint Francisville, LA 70775 | 2020-10-22 |
| 1598382467 | Mcgraw-edwards Chiropractic LLC. | Chiropractor | 7197 Us Highway 61 Suite E, St. Francisville, LA 70775 | 2020-06-26 |
| 1174148779 | Audubon Urgent Dental | Dentist | 7181 U.S. Hwy 61, Suite 10, Saint Francisville, LA 70775 | 2020-06-10 |
| 1831718691 | Just Health | Clinic/Center | 11651 Ferdinand Street, St. Francisville, LA 70775 | 2020-04-13 |
| 1902368103 | Aaron Priddy | Dentist | 5436 Commerce Street, Saint Francisville, LA 70775 | 2019-04-05 |
| 1396267233 | Angela Landry, Lcsw, LLC | Clinic/Center | 5687 Commerce Street, Suite 7, St. Francisville, LA 70775 | 2017-07-12 |
| 1508393117 | Magnolia Wellness Group, LLC | Community/Behavioral Health | 5687 Commerce, 7, Saint Francisville, LA 70775 | 2017-05-12 |
| 1659807212 | Stephanna Alberty | Physical Therapist | 5877 Commerce, Suite 2, St. Francisville, LA 70775 | 2017-05-02 |
| 1730627779 | Magnolia Wellness | Community/Behavioral Health | 5689 Commerce Street, St. Francisiville, LA 70775 | 2017-02-10 |
| Find all providers in zip 70775 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992217269 | Morgan Hartline | Physical Medicine & Rehabilitation | 1605 Stubbs Ave, Monroe, LA 71201-5629 | 2017-10-26 |
| 1275521981 | Stephen G Rees | Physical Medicine & Rehabilitation | 4212 W Congress St, Lafayette, LA 70506-6765 | 2005-10-07 |
| City | ST. FRANCISVILLE |
| Zip Code | 70775 |
Please comment or provide details below to improve the information on KELLY D'AQUILLA, OT LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.