Contricka Towana Tillquist

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT10334 Issued in FL

Practice address

6900 Tavistock Lakes Blvd Ste 400
Orlando, FL 32827-7593

Phone

(407) 970-0824

Fax

(321) 235-5506

NPI assigned

Dec 25, 2019

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

Electronic endpoints 1

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": "1577232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577232000000",
    "number": "1801435797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 SOUTHAMPTON DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347448445",
            "telephone_number": "863-279-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 TAVISTOCK LAKES BLVD STE 400",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277593",
            "telephone_number": "407-970-0824",
            "fax_number": "321-235-5506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 Southampton Dr",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347448445",
            "country_code": "US",
            "telephone_number": "863-279-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "177 Southampton Dr",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347448445",
            "country_code": "US",
            "telephone_number": "863-279-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLQUIST",
        "first_name": "CONTRICKA",
        "middle_name": "TOWANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-25",
        "last_updated": "2019-12-25",
        "certification_date": "2019-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT10334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contricka@amptherapyfl.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "177 Southampton Dr",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347448445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Courtney Tiller, ARNP
• Rebecca Tillery, PA-C
• Marta Lynn Tilley, LCSW
• Allison Ann Tillman
• Martell Tillman
• James Joseph Tills II
• Ashley Nicole Tilton, CAA
• Timber Creek Pediatrics Inc
• Time 2 Unwind Spa, LLC
• Kelly Timmins, RMHCI

• Pediatric Occupational Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2019; 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.