Kristopher Glenn Tillman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25975 Issued in MD

Practice address

1100 E 33Rd St Ste 105
Baltimore, MD 21218-6795

Phone

(410) 366-0791

NPI assigned

Mar 28, 2017

Last updated

Feb 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Maximum Performance Physical Therapy, Inc

  • Physical Therapist
  • Laurel, MD
  • NPI 1861600868

  DC

  Medicare reassignment NPD
• Maximum Performance Physical Therapy, Inc

  • Physical Therapist
  • Columbia, MD
  • NPI 1740790112
  NPD
• National Rehabilitation Hospital, Inc.

  dba MedStar Health Physical Therapy at Waverly

  • Rehabilitation Clinic/Center
  • Baltimore, MD
  • NPI 1629455308

  Physical Therapist

  NPD
• Life Fitness Physical Therapy LLC

  • Physical Therapist
  • Ellicott City, MD
  • NPI 1285882670
  NPD (past)
• National Rehabilitation Hospital, Inc.

  dba MedStar Health Physical Therapy at Waldorf Marketplace

  • Rehabilitation Clinic/Center
  • Waldorf, MD
  • NPI 1912724246

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1184156457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10980 GRANTCHESTER WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446097",
            "telephone_number": "877-772-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E 33RD ST STE 105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186795",
            "telephone_number": "410-366-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "KRISTOPHER",
        "middle_name": "GLENN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerri Arnetta Tilley, LCPC
• Haley Hauser Tilley, MD
• Ayonna Tillman
• Janay Tillman
• Jonae Lakisha Tillman
• Leah Andrea Pel Timbang
• Time Biomeds Inc.
• Time Organization Inc. (Time Biomeds)
• Time Organization, Inc
• Time Organization, Inc

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.