Kathleen Siobhan Evangelista, MS OTR/L - Occupational Therapist in West Orange, NJ

Kathleen Siobhan Evangelista, MS OTR/L is a Occupational Therapist based in West Orange, New Jersey. Kathleen Siobhan Evangelista is licensed to practice in New Jersey (license number 46TR00559400) and her current practice location is 622 Eagle Rock Ave Ste 108, West Orange, New Jersey. She can be reached at her office (for appointments etc.) via phone at (973) 669-0072.

NPI number for Kathleen Siobhan Evangelista is 1265778856 and her current mailing address is 3 Butler Ln, West Milford, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265778856.

Contact Information

Kathleen Siobhan Evangelista, MS OTR/L
622 Eagle Rock Ave Ste 108,
West Orange, NJ 07052-2994
(973) 669-0072
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKathleen Siobhan Evangelista
GenderFemale
SpecialityOccupational Therapist
Location622 Eagle Rock Ave Ste 108, West Orange, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265778856
  • Provider Enumeration Date: 12/31/2012
  • Last Update Date: 01/10/2023

Medical Identifiers

Medical identifiers for Kathleen Siobhan Evangelista such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265778856NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 46TR00559400 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Siobhan Evangelista is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathleen Siobhan Evangelista, MS OTR/L
3 Butler Ln,
West Milford, NJ 07480-1307

Ph: () -
Kathleen Siobhan Evangelista, MS OTR/L
622 Eagle Rock Ave Ste 108,
West Orange, NJ 07052-2994

Ph: (973) 669-0072

Reviews and Comments


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