Alyssa Tillinghast, OTR/L is a
Occupational Therapist based in Eastport, New York. Alyssa Tillinghast is licensed to practice in New York (license number 63 017877) and her current practice location is
10 Lakeview Ct, Eastport, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 905-6211.
NPI number for Alyssa Tillinghast is 1104166545 and her current mailing address is 10 Lakeview Ct, Eastport, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104166545.
Healthcare Provider's Profile
| Full Name | Alyssa Tillinghast |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 10 Lakeview Ct, Eastport, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104166545
- Provider Enumeration Date: 02/21/2013
- Last Update Date: 02/21/2013
Medical Identifiers
Medical identifiers for Alyssa Tillinghast such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104166545 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 63 017877 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alyssa Tillinghast is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alyssa Tillinghast, OTR/L
10 Lakeview Ct,
Eastport, NY 11941-1208
Ph: (631) 905-6211 | Alyssa Tillinghast, OTR/L
10 Lakeview Ct,
Eastport, NY 11941-1208
Ph: (631) 905-6211 |
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