Active NPIIndividual providerSole proprietor

Jennifer Evangeliste, OTR

Occupational Therapist in Milford, Connecticut

NPI Number1700921228
Practice location
209 Cherry St, Milford, CT 06460-3501
Fax
203-301-9552
Last updated
February 21, 2013

Jennifer Evangeliste is an Occupational Therapist based in Milford, CT. Jennifer Evangeliste practices in Milford, CT and has the professional credentials of OTR. The NPI Number for Jennifer Evangeliste is 1700921228 and holds a License No. 002425 (CT). The current practice location address for Jennifer Evangeliste is 209 Cherry St, Milford, CT 06460-3501 and can be reached out via phone at 203-874-5437 and via fax at 203-301-9552.

Provider Profile Details

NPI Number
1700921228
Provider Name
Jennifer Evangeliste
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
209 Cherry St, Milford, CT 06460-3501
Phone Number
203-874-5437
Fax Number
203-301-9552
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 21, 2007
Last Update Date
February 21, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
209 Cherry St
Milford, CT 06460-3501
Zip
06460-3501
Phone Number
203-874-5437
Fax Number
203-301-9552
Milford, CT 06460Get directions →

Provider Business Mailing Address Details

Address
132 Elm St
Cheshire, CT 06410-2808
City
Cheshire
State
CT
Zip
06410-2808
Phone Number
203-250-9663

License Information

License Number (1)
002425
License State (1)
CT
Taxonomy (1)
Occupational Therapist, Pediatrics · 225XP0200X
License Number (2)
002425
License State (2)
CT
Taxonomy (2)
Occupational Therapist · 225X00000X · 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 Jennifer Evangeliste, OTR?

The NPI number of Jennifer Evangeliste, OTR is 1700921228. It was assigned on February 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Jennifer Evangeliste, OTR?

Jennifer Evangeliste, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in CT under license number 002425.

Where does Jennifer Evangeliste, OTR practice?

The practice location is 209 Cherry St, Milford, CT 06460-3501. The office can be reached at 203-874-5437 (phone) or 203-301-9552 (fax).

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 1700921228 directly on the NPPES registry website.

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