Individual provider Active NPI

Sarah Tillay, DPT

  • Physical Therapist
  • Redmond, OR
National Provider Identifier
1053854612
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65235 Issued in OR
Practice address
2514 SW Metolius Ave
Redmond, OR 97756-2968
Phone
(541) 316-0393
NPI assigned
Nov 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 292360 CA
Physical Therapist 225100000X 65235 OR Primary

Addresses

Primary practice location

2514 SW Metolius Ave
Redmond, OR 97756-2968

Mailing address

2514 SW Metolius Ave
Redmond, OR 97756-2968
Phone (541) 316-0393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
292360CAMDPhysical Therapist
65235ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Floored Pelvic Health & Wellness, LLC CurrentSince Feb 23, 2025 Accepting new patients
Golden Bear Physical Therapy Sports Injury Center, Inc Physical Therapist CurrentSince Jan 4, 2017 Accepting new patients
Redbird LLC Physical Therapist CurrentSince Apr 28, 2024 Accepting new patients
Golden Bear Physical Therapy PastSince Jan 4, 2017 Accepting new patients
Gold Country Therapies, Inc PastSince Jan 1, 2015 Accepting new patients

Locations

1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946

1518 Coffee Rd
Ste I
Modesto, CA 95355

4318 Spyres Way
Modesto, CA 95356
Phone (209) 284-4910

1222 W Colony Rd
Ste 130
Ripon, CA 95366
Phone (209) 624-1288

3800 Geer Rd
Ste 101
Turlock, CA 95382
Phone (209) 667-1729

1906 Vista del Lago Dr
Ste A
Valley Springs, CA 95252
Phone (209) 772-0848

1441 SW Chandler Ave
Ste 103
Bend, OR 97702
Phone (541) 312-2252

946 SW Veterans Way
Ste 100
Redmond, OR 97756
Phone (541) 527-4386

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1053854612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 SW METOLIUS AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562968",
            "telephone_number": "541-316-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 SW METOLIUS AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562968",
            "telephone_number": "541-316-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLAY",
        "first_name": "SARAH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292360",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.