Active NPIIndividual provider

Madison J Tillem, OTR/L

Occupational Therapist in Monroe Twp, New Jersey

NPI Number1326743709
Practice location
11 Centre Dr, Monroe Twp, NJ 08831-1865
Fax
609-924-8532
Last updated
June 24, 2024

Madison Jade Tillem is an Occupational Therapist based in Monroe Twp, NJ. Madison Jade Tillem practices in Monroe Twp, NJ and has the professional credentials of OTR/L. The NPI Number for Madison Jade Tillem is 1326743709 and holds a License No. 46TR01117000 (NJ). The current practice location address for Madison Jade Tillem is 11 Centre Dr, Monroe Twp, NJ 08831-1865 and can be reached out via phone at 609-924-8131 and via fax at 609-924-8532.

Provider Profile Details

NPI Number
1326743709
Provider Name
Madison Jade Tillem
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
11 Centre Dr, Monroe Twp, NJ 08831-1865
Phone Number
609-924-8131
Fax Number
609-924-8532
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
April 4, 2023
Last Update Date
June 24, 2024
Certification Date
June 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Centre Dr
Monroe Twp, NJ 08831-1865
Zip
08831-1865
Phone Number
609-924-8131
Fax Number
609-924-8532
Monroe Twp, NJ 08831Get directions →

Provider Business Mailing Address Details

Address
11 Centre Dr
Monroe Twp, NJ 08831-1865
City
Monroe Twp
State
NJ
Zip
08831-1865
Phone Number
609-924-8131
Fax Number
609-924-8532

License Information

License Number
46TR01117000
License State
NJ
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Madison J Tillem, OTR/L?

The NPI number of Madison J Tillem, OTR/L is 1326743709. It was assigned on April 4, 2023 and is currently active in the NPPES registry.

What is the specialty of Madison J Tillem, OTR/L?

Madison J Tillem, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR01117000.

Where does Madison J Tillem, OTR/L practice?

The practice location is 11 Centre Dr, Monroe Twp, NJ 08831-1865. The office can be reached at 609-924-8131 (phone) or 609-924-8532 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326743709 directly on the NPPES registry website.

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