Madison Jade Tillem, OTR/L | |
11 Centre Dr, Monroe Twp, NJ 08831-1865 | |
(609) 924-8131 | |
(609) 924-8532 |
Full Name | Madison Jade Tillem |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 11 Centre Dr, Monroe Twp, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326743709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 46TR01117000 (New Jersey) | Primary |
Provider Name | Ivyrehab Network Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
Provider Name | Orthonj Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720557432 PECOS PAC ID: 6800225178 Enrollment ID: O20200408000333 |
Mailing Address | Practice Location Address |
---|---|
Madison Jade Tillem, OTR/L 11 Centre Dr, Monroe Twp, NJ 08831-1865 Ph: (609) 924-8131 | Madison Jade Tillem, OTR/L 11 Centre Dr, Monroe Twp, NJ 08831-1865 Ph: (609) 924-8131 |
Shital Gautam Mistry, BACHELOR IN OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 36 Eldorado Way, Monroe Twp, NJ 08831 Phone: 732-925-6567 | |
Michele Norris, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 292 Applegarth Rd, Monroe Twp, NJ 08831 Phone: 609-860-8122 Fax: 609-655-4596 |