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TILLGES CERTIFIED ORTHOTIC PROSTHETIC INC. NPI 1568428092


NPI Information

NPI: 1568428092
Provider Name: TILLGES CERTIFIED ORTHOTIC PROSTHETIC, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1570 BEAM AVE
SUITE 100
MAPLEWOOD, MN
ZIP 55109
Phone: (651) 772-2665
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TILLGES CERTIFIED ORTHOTIC PROSTHETIC, INC. is a prosthetic orthotic supplier in Maplewood, MN. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. TILLGES CERTIFIED ORTHOTIC PROSTHETIC, INC. NPI is 1568428092. The provider is registered as an organization entity type.

The provider's business location address is:

1570 BEAM AVE
SUITE 100
MAPLEWOOD, MN
ZIP 55109-166
Phone: (651) 772-2665
Fax: (651) 771-6553

The provider's authorized official is Robert James Tillges .
The authorized official title is Owner, President and has the following contact phone number (651) 772-2665.

The enumeration date for this NPI number is 4/24/2006 and was last updated on 7/31/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
121446OTHERMINNESOTAHEALTH PARTNERS
254075OTHERNORTH DAKOTANORTH DAKOTA MEDICAID
341783200OTHERWISCONSINWISCONSIN MEDICAID
4102162OTHERMINNESOTAUCARE
58200376OTHERMINNESOTAMEDICA
61018417OTHERMINNESOTAPREFERRED ONE
72G045TIOTHERMINNESOTABLUECROSS/BLUE SHIELD
80380560003MEDICARE NSCMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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