Demitris Tillman, PTA

NPI: 1588827554

Demitris Tillman, PTA

Q: What is Demitris Tillman's NPI number?

Demitris Tillman's NPI number is 1588827554, a unique 10-digit identifier issued by CMS.

Q: What does Demitris Tillman specialize in?

Demitris Tillman specializes in Specialty not listed, taxonomy code 225200000X.

Q: Where does Demitris Tillman practice?

Demitris Tillman practices in Fort Eustis, VA 23604-1602.

Q: When was Demitris Tillman's NPI issued?

Demitris Tillman's NPI was issued on July 9, 2008.

Q: What is Demitris Tillman's provider type?

Demitris Tillman is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderSpecialty not listed

NPI issued: July 9, 2008

Quick Facts

NPI Number

1588827554

TypeIndividual

StatusActive

SpecialtySpecialty not listed

Taxonomy225200000X — Specialty not listed

Phone

(757) 314-7666

StateVA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1588827554)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (July 9, 2008)

Data source: CMS NPPES

Provider Overview

DEMITRIS TILLMAN, PTA is a Healthcare provider based in Fort Eustis, VA who has been registered with CMS since 2008. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1588827554

Provider TypeIndividual Provider

GenderFemale

CredentialPTA

StatusActive

Enumeration DateJuly 9, 2008

Practice Location

CityFort Eustis

StateVA

ZIP Code23604-1602

Phone(757) 314-7666

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code225200000X

License StateVA

Mailing Address

CityFort Eustis

StateVA

ZIP Code23604-1602

Phone(757) 314-7666

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1588827554 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1588827554for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1588827554 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Specialty not listedproviders →

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