Individual provider Active NPI

Evangelia Sophia Tzelios, MS, OTR/L, LSVT-C

  • Occupational Therapist
  • Montclair, NJ
National Provider Identifier
1225602725
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00751700 Issued in NJ
Practice address
45 Church St Apt D-12
Montclair, NJ 07042-2733
Phone
(718) 702-6928
NPI assigned
May 18, 2021
Last updated
May 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 020855 NY
Occupational Therapist 225X00000X 46TR00751700 NJ Primary

Addresses

Primary practice location

45 Church St Apt D-12
Montclair, NJ 07042-2733

Mailing address

45 Church St Apt D-12
Montclair, NJ 07042-2733
Phone (718) 702-6928

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
020855NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1225602725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CHURCH ST APT D-12",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422733",
            "telephone_number": "718-702-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CHURCH ST APT D-12",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422733",
            "telephone_number": "718-702-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZELIOS",
        "first_name": "EVANGELIA",
        "middle_name": "SOPHIA",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L, LSVT-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020855",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00751700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.