James Randolph Tilton in Ithaca - Physical Therapist
James Randolph Tilton - NPI 1720007248
James Randolph Tilton is a Physical Therapist in Ithaca, Michigan. James Randolph Tilton practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for James Randolph Tilton is 1720007248. The last update date is 2019-10-17.
James Randolph Tilton's current location address is 203 Dilts Rd, Ithaca, Michigan. You can contact this provider via phone number 9898752266 and fax number 9898752225. The mailing address for James Randolph Tilton is 203 Dilts Rd, Ithaca, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Randolph Tilton |
|---|---|
| Address | 203 Dilts Rd, Ithaca, Michigan |
| Phone Number | 9898752266 |
| Fax Number | 9898752225 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1720007248 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2019-10-17 |
Provider Mailing Address Detail
| Address | 203 Dilts Rd |
|---|---|
| City | Ithaca |
| State | Michigan (MI) |
| Post Code | 488479475 |
| Phone Number | 9898752266 |
| Fax Number | 9898752225 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5501008948 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200770947 | TAX ID | ||
| 607648000 | MI | OFFICE OF WORKERS COMP. | |
| 7594704 | MI | AETNA | |
| 64-70128 | MI | PHP | |
| 650B910270 | MI | BCBSM AND BCN | |
| A2741KD1 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to James Randolph Tilton by the Centers for Medicare & Medicaid Services?
The James Randolph Tilton has been issued the NPI (National Provider Identifier) 1720007248, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the James Randolph Tilton located?
The James Randolph Tilton is located at 203 Dilts Rd, Ithaca, MI 488479475.
What is James Randolph Tilton's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for James Randolph Tilton is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date did James Randolph Tilton receive its 1720007248 assignment from the Centers for Medicare & Medicaid Services?
The James Randolph Tilton was assigned its 1720007248 on 2006-07-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding James Randolph Tilton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to James Randolph Tilton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-10-17.
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