Evan Conquest, OTR/L
Occupational Therapist in Vernon, New Jersey
1265946057- Practice location
- 212 State Rt 94 Ste 2G&2H, Vernon, NJ 07462-3328
- Phone
- 973-209-0086
- Fax
- —
- Last updated
- July 27, 2021
Evan Conquest is an Occupational Therapist based in Vernon, NJ. Evan Conquest practices in Vernon, NJ and has the professional credentials of OTR/L. The NPI Number for Evan Conquest is 1265946057 and holds a License No. 46TR00802100 (NJ). The current practice location address for Evan Conquest is 212 State Rt 94 Ste 2G&2H, Vernon, NJ 07462-3328 and can be reached out via phone at 973-209-0086.
Provider Profile Details
- NPI Number
- 1265946057
- Provider Name
- Evan Conquest
- Credential
- OTR/L
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 212 State Rt 94 Ste 2G&2H, Vernon, NJ 07462-3328
- Phone Number
- 973-209-0086
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 1, 2017
- Last Update Date
- July 27, 2021
- Certification Date
- July 27, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 212 State Rt 94 Ste 2G&2H
Vernon, NJ 07462-3328 - City
- Vernon
- State
- New Jersey
- Zip
- 07462-3328
- Phone Number
- 973-209-0086
Provider Business Mailing Address Details
- Address
- 135 Butler Pkwy
Summit, NJ 07901-1439 - City
- Summit
- State
- NJ
- Zip
- 07901-1439
- Phone Number
- 484-574-4957
License Information
- Taxonomy (1)
- Occupational Therapist · 225X00000X
- License Number (2)
- 46TR00802100
- License State (2)
- NJ
- Taxonomy (2)
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Evan Conquest, OTR/L?
The NPI number of Evan Conquest, OTR/L is 1265946057. It was assigned on December 1, 2017 and is currently active in the NPPES registry.
What is the specialty of Evan Conquest, OTR/L?
Evan Conquest, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00802100.
Where does Evan Conquest, OTR/L practice?
The practice location is 212 State Rt 94 Ste 2G&2H, Vernon, NJ 07462-3328. The office can be reached at 973-209-0086 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265946057 directly on the NPPES registry website.