Tillges Certified Orthotic Prosthetic, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

TILLGES CERTIFIED ORTHOTIC PROSTHETIC, INC.

Practice address

563 Bielenberg Dr
Suite 110
Woodbury, MN 55125-1415

Phone

(651) 735-0818

Fax

(651) 735-1232

NPI assigned

Apr 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Tillges

Title

Operations Officer

Phone

(651) 772-2665

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Tillges Certified Orthotic Prosthetic, Inc.

  • Prosthetic/Orthotic Supplier
  • Maplewood, MN
  • NPI 1568428092

  5496873036

  Same PAC ID
• Tillges Certified Orthotic Prosthetic, Inc.

  • Prosthetic/Orthotic Supplier
  • Coon Rapids, MN
  • NPI 1598576613

  5496873036

  Same PAC ID
• Tillges Certified Orthotic Prosthetic, Inc.

  • Prosthetic/Orthotic Supplier
  • Minneapolis, MN
  • NPI 1700208337

  5496873036

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Tillges Cert Orthpro I3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Tillges Certified Orthotic Prosthetic, Inc.

  • Prosthetic/Orthotic Supplier
  • Maplewood, MN
  • NPI 1568428092
  NPD tax ID
• Tillges Certified Orthotic Prosthetic, Inc.

  • Prosthetic/Orthotic Supplier
  • Coon Rapids, MN
  • NPI 1598576613
  NPD tax ID

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1275599706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 BEAM AVE",
            "address_2": "SUITE 100",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091166",
            "telephone_number": "651-772-2665",
            "fax_number": "651-771-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 BIELENBERG DR",
            "address_2": "SUITE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251415",
            "telephone_number": "651-735-0818",
            "fax_number": "651-735-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLGES CERTIFIED ORTHOTIC PROSTHETIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "TILLGES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OPERATIONS OFFICER",
        "authorized_official_telephone_number": "651-772-2665",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUE SHIELD",
            "identifier": "2G045TI",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41783200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54075",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN EDUCATIONAL",
            "identifier": "110002421",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "21446",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8200377",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "780265000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "102162",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jill R Toliver, CNP

• Prosthetic/Orthotic Supplier in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Prosthetic/Orthotic Supplier in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.