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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09935 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard County Health Department | Current |
Accepting new patients |
Locations
8200 Savage Guilford Rd
Savage, MD 20763
Phone (410) 880-5920
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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All providers in Savage, MD · Occupational Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.