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

Tori E Therrien, PA

Individual provider Physician Assistant · NPI 1558017632

Tori E Therrien, PA is a Physician Assistant in Saint Louis, Missouri. Qualified in 2022, 4 years ago. Licensed in Kentucky and Missouri.

Years since qualifying
4
Licensed in
KY, MO
In the registry since
2022
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

621 S New Ballas Rd Ste 7011B
Saint Louis, MO 63141-8275
Phone: (314) 251-6840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2025035866 (MO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA3175 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA3175 (KY)
Physician Assistant Taxonomy 363A00000X · Licence PA3175 (KY)

Record details

NPI number1558017632
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 27, 2022
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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