Camden Lee Tillinghast, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT4592 Issued in ME

Practice address

3 Brazier LN
Kennebunk, ME 04043-7095

Phone

(207) 985-3030

NPI assigned

Apr 2, 2024

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

Enrolled in ME

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maine Strong Physical Therapy PAGroup PAC ID 8224313143, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Maine Strong Physical Therapy PA

  • Physical Therapist
  • South Portland, ME
  • NPI 1841669660
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1952153132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 CUMBERLAND AVE APT 3",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013176",
            "telephone_number": "603-781-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BRAZIER LN",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437095",
            "telephone_number": "207-985-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLINGHAST",
        "first_name": "CAMDEN",
        "middle_name": "LEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Medical Group Department of Goodall Hospital
• Thomas Benenti D.M.D.
• John W Thompson, D.O.
• Julia Elise Thompson
• Thriveline Telepsychiatry & Mental Wellness PLLC
• Ashley Lynn Tillson
• Tim Ericson, LLC
• Sandra Titcomb, MS, BCBA
• Danielle Jean-Baldi Tito, NP
• Lauren Toma, LPC, LCPC, AT-R

• Occupational Therapist in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.