Carlyn Marie Tillage, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119-008699 Issued in VA

Practice address

6231 Leesburg Pike Ste 500
Falls Church, VA 22044-2102

Phone

(703) 536-1817

NPI assigned

Aug 5, 2020

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1780294637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BRADDOCK PL APT 1016",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141674",
            "telephone_number": "804-832-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6231 LEESBURG PIKE STE 500",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442102",
            "telephone_number": "703-536-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLAGE",
        "first_name": "CARLYN",
        "middle_name": "MARIE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119-008699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estelle Tientcheu, CRNA
• James J Tier, MD
• Patricia Tierney, RN
• Iyla Tikhonov, CSA
• Anne M Tilghman, CNM
• Laura Wheat Tilman, D.O.
• Rebecca Timbo, NP
• Sean Timms
• Ali Timsar, M.D.
• Hannah Tindall

• Occupational Therapist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.