Evan Povill, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

011844-1 Issued in NY

Practice address

606 Old Route 17
Monticello, NY 12701

Phone

(845) 794-1400

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Center for Discovery Inc

  • Rural Health Clinic/Center
  • Monticello, NY
  • NPI 1275624694
  Medicare reassignment NPD
• The Center for Discovery Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Rock Hill, NY
  • NPI 1669202610
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154420826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 GREEVES ROAD",
            "city": "NEW HAMPTON",
            "state": "NY",
            "postal_code": "10958",
            "telephone_number": "845-374-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 OLD ROUTE 17",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "12701",
            "telephone_number": "845-794-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POVILL",
        "first_name": "EVAN",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "011844-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Steven Pinker, D.P.M.
• Planned Parenthood of the Mid Hudson Valley
• Plattsburgh Physical Therapy and Sports Rehab
• Susan K. Poli
• Alexis A Polin, LPN
• Margaret Poziomska, MASTER CASAC
• Daisha Pozo Laguna, LPN
• Premier Care Physical Therapy, PLLC
• Glenna Le Price, LPN
• Diane Elizabeth Primavera, FNP

• Occupational Therapist in Monticello, NY
• Providers in Monticello, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.