Individual provider Active NPI

Gregg A Tilger Jr., MOTR/L

  • Occupational Therapist
  • Washington, PA
National Provider Identifier
1619366184
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC011572 Issued in PA
Practice address
2114 N Franklin Dr
Washington, PA 15301-5891
Phone
(724) 222-5433
NPI assigned
Jan 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC011572 PA Primary

Addresses

Primary practice location

2114 N Franklin Dr
Washington, PA 15301-5891

Mailing address

607 Parkland Dr
Canonsburg, PA 15317-1205
Phone (724) 466-1377

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OC011572PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Life Washington Past Accepting new patients
Seniorlife Washington, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1619366184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 PARKLAND DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171205",
            "telephone_number": "724-466-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 N FRANKLIN DR",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015891",
            "telephone_number": "724-222-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILGER",
        "first_name": "GREGG",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC011572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.