Anna Leigh Tillo

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

009517 Issued in AZ

Practice address

4645 E Chandler Blvd Ste 100
Phoenix, AZ 85048-0432

Phone

(480) 687-3790

NPI assigned

Aug 7, 2020

Last updated

Feb 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bridge Wellness Center LLC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1043925688
  NPD (past)

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1326658931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W VAN WEISS BLVD",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551532",
            "telephone_number": "319-572-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 E CHANDLER BLVD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480432",
            "telephone_number": "480-687-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLO",
        "first_name": "ANNA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "009517",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Sue Tillack, ANP
• Amy Marie Tillema
• James Macpherson Tillinghast, MD
• Daniel T Tillman, MD
• Laura Tillman, M.D.
• Sally A Tilousi, RN
• Tim Matatov MD., Professional Corporation
• Laurie Timarac, LCSW
• Ela M Timbadia, M.D.
• Debra Timberlake, LMFT

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.