Matthew Tillman

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS5662 Issued in FL

Practice address

4203 NW Federal Hwy # 19
Jensen Beach, FL 34957-3600

Phone

(772) 208-5457

NPI assigned

Nov 28, 2022

Sex

Male

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

Practice roles

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.

• My Hearing Centers Holding Inc.

  • Hearing Aid Equipment
  • Boynton Beach, FL
  • NPI 1558033142

  Hearing Instrument Specialist

  NPD (past)

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1831809151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 NW FEDERAL HWY # 19",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 NW FEDERAL HWY # 19",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573600",
            "telephone_number": "772-208-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Althea Thomas, MS CF SLP
• Benita Thomas, M.D.
• Carolyn Wright Thomas
• Alton Thomson, MD
• Mycah Thurman, PMHNP - BC
• TLC Rehab, Inc.
• Daniela C Torchia - Minker, LMHC
• Tanya Michelle Torello
• Katherine Torres, PA
• Nanci Torres, MSW

• All providers in Jensen Beach, FL
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.