Active NPI
Angela Evola Evola, MS OTR/L
- Pediatric Occupational Therapist
- Chicago, IL
National Provider Identifier
1144539537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 056007626
- Practice address
- 1820 W Webster Ave
Chicago, IL 60614-2934 - Phone
- (847) 971-3771
- NPI assigned
- Oct 2, 2010
- Last updated
- Oct 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 056007626 | IL | Primary |
Addresses
Primary practice location
1820 W Webster Ave
Chicago, IL 60614-2934
Mailing address
1820 W Webster Ave
Chicago, IL 60614-2934
Phone (847) 971-3771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056007626 | IL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evola Pediatric Therapy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1417221854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285977600000",
"number": "1144539537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 W WEBSTER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606142934",
"telephone_number": "847-971-3771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 W WEBSTER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606142934",
"telephone_number": "847-971-3771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVOLA",
"first_name": "ANGELA",
"middle_name": "EVOLA",
"name_prefix": "Mrs.",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-02",
"last_updated": "2010-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IL",
"license": "056007626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Evidence Based Therapy Chicago
- Evive Health LLC
- Evocare Wound Solutions PA
- Evohome Medical Corporation (EvoHome Medical Group)
- Evola Pediatric Therapy
- Jennifer Ann Evola, LMT, RD, LDN
- Evolve and Transcend Wellness Center
- Evolve Chiropractic Cumberland PLLC
- Evolve Counseling & Consults Corporation
- Evolve Counseling & Wellness
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.