Tiller Performance and Physio

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8455 Issued in TN

Legal business name

TILLER PERFORMANCE AND PHYSIO

Practice address

1291 Old Highway 99
Lewisburg, TN 37091-6638

Phone

(931) 306-9174

NPI assigned

Mar 17, 2017

Last updated

Mar 17, 2017By 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

Dr. Brooks L Tiller, DPT

Title

Owner

Phone

(931) 306-9174

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1023559440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 OLD HIGHWAY 99",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370916638",
            "telephone_number": "931-306-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 OLD HIGHWAY 99",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370916638",
            "telephone_number": "931-306-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLER PERFORMANCE AND PHYSIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "TILLER",
        "authorized_official_first_name": "BROOKS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-306-9174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Matthew Thomas, OTR/L
• Larry D Thomas, DDS
• Azilee C Thompson, NP
• Margaret Ann Throckmorton, APRN
• Averi Tidwell
• Top Flight Medical Group LLC
• Shonda Elaine Tormohlen, FNP-C
• Lora Underwood, PHARMD.
• Barton Vanbibber
• Lindsay Schultz Vandever, MS, LAT, ATC

• Physical Therapist in Lewisburg, TN
• Providers in Lewisburg, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.