Active NPIIndividual provider

Tia A Evangelista, PT, DPT

Physical Therapist in Kearny, New Jersey

NPI Number1417836743
Practice location
206 Bergen Ave, Kearny, NJ 07032-3384
Fax
—
Last updated
August 29, 2025

Tia Araceli Evangelista is a Physical Therapist based in Kearny, NJ. Tia Araceli Evangelista practices in Kearny, NJ and has the professional credentials of PT, DPT. The NPI Number for Tia Araceli Evangelista is 1417836743 and holds a License No. 40QA02306200 (NJ). The current practice location address for Tia Araceli Evangelista is 206 Bergen Ave, Kearny, NJ 07032-3384 and can be reached out via phone at 551-580-7881.

Provider Profile Details

NPI Number
1417836743
Provider Name
Tia Araceli Evangelista
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
206 Bergen Ave, Kearny, NJ 07032-3384
Phone Number
551-580-7881
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 29, 2025
Last Update Date
August 29, 2025
Certification Date
August 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
206 Bergen Ave
Kearny, NJ 07032-3384
City
Kearny
Zip
07032-3384
Phone Number
551-580-7881
Kearny, NJ 07032Get directions →

Provider Business Mailing Address Details

Address
367 Van Nostrand Ave
Jersey City, NJ 07305-1308
City
Jersey City
State
NJ
Zip
07305-1308
Phone Number
201-687-1939

License Information

License Number
40QA02306200
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Tia A Evangelista, PT, DPT?

The NPI number of Tia A Evangelista, PT, DPT is 1417836743. It was assigned on August 29, 2025 and is currently active in the NPPES registry.

What is the specialty of Tia A Evangelista, PT, DPT?

Tia A Evangelista, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02306200.

Where does Tia A Evangelista, PT, DPT practice?

The practice location is 206 Bergen Ave, Kearny, NJ 07032-3384. The office can be reached at 551-580-7881 (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 1417836743 directly on the NPPES registry website.

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