Jennie Tantillo, OTR/L

Individual provider Active NPI Occupational Therapist · Savage, MD

NPI 1558066761 · NPPES record last updated Mar 14, 2025

Key facts

NPI
1558066761
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
09935 (MD)
Practice address
8200 Savage Guilford Rd
Savage, MD 20763-5671
Phone
(410) 880-5920
Fax
(410) 880-5923
NPI assigned
Apr 5, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
09935MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Howard County Health Department Current
since Mar 20, 2025
Accepting new patients

Locations

8200 Savage Guilford Rd
Savage, MD 20763
Phone (410) 880-5920

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 09935 MD Yes

Addresses

Primary practice location

8200 Savage Guilford Rd
Savage, MD 20763-5671

Mailing address

8200 Savage Guilford Rd
Savage, MD 20763-5671
Phone (410) 880-5920

Other providers in Savage, MD

All providers in Savage, MD · Occupational Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.