Stephanie R Tillman, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2056 Issued in AL

Practice address

3057 Lorna Rd
Suite Number 220
Birmingham, AL 35216-4514

Phone

(205) 978-9939

NPI assigned

Dec 3, 2008

Last updated

Dec 3, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1427293596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BALDWIN LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427079",
            "telephone_number": "205-995-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 LORNA RD",
            "address_2": "SUITE NUMBER 220",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164514",
            "telephone_number": "205-978-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AL",
            "license": "2056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Till
• Tyler Lane Till, CRNP
• Elizabeth Anastasia Tiller, DO
• Madeleine Sinclaire Tilley, PHARMD
• Tabitha Woods Tilley, PMHNP-BC
• Alex Tilt, CRNP
• Douglas C Tilt, MD
• Adrianna Nichole Tilton, MD
• Mauricia Chamoise Timmons, CRNP
• Tatianna Timor, PHARMD

• Pediatric Occupational Therapist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pediatric Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.