Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mike Inocencio, PT

Individual provider Physical Therapist · NPI 1457457418

Mike Inocencio, PT is a Physical Therapist in Canton, Missouri. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

1100 E Outer Rd S Ste 1
Canton, MO 63435-1701
Phone: (573) 288-3311
Fax: (573) 288-1223
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IL)

Record details

NPI number1457457418
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 16, 2006
Last updated in NPPESJuly 8, 2007

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