Individual provider Active NPI

Christine Popilock, OTR/L

  • Occupational Therapist
  • Hoboken, NJ
National Provider Identifier
1336768431
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00924400 Issued in NJ
Practice address
111 Washington St FL 2
Hoboken, NJ 07030-7796
Phone
(201) 808-2245
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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 024592 NY
Occupational Therapist 225X00000X 46TR00924400 NJ Primary

Addresses

Primary practice location

111 Washington St FL 2
Hoboken, NJ 07030-7796

Mailing address

31 E 32ND St FL 4
New York, NY 10016-5595
Phone (212) 759-2282

Other practice location 1

36 W 44th St Ste 403
New York, NY 10036-8107
Phone (212) 759-2282

Other names 1

  • Christine Evangelista Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200806002280 NJ Practitioner - Occupational Therapist in Private Practice 9537584636 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spear Physical and Occupational Therapy, LLCGroup PAC ID 6901832112, 582 clinicians

Practice addresses (Care Compare)

111 Washington St FL
2 Spear Hoboken
Hoboken, NJ 07030-7796
Phone (201) 808-2245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024592NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spear Physical and Occupational Therapy, LLC Occupational Therapist CurrentSince May 1, 2024 Accepting new patients
Performance Medical of Watchung LLC CurrentSince Jan 28, 2021 Accepting new patients
Performance Medical Group of Somerset CurrentSince May 1, 2021 Accepting new patients
Performance Medical Group of Branchburg LLC CurrentSince Jan 4, 2024 Accepting new patients
Cornerstone Medical Procedures LLC CurrentSince Aug 1, 2021 Accepting new patients
Cornerstone Chiropractic & Rehabilitation Center, LLC CurrentSince Jul 29, 2020 Accepting new patients
Spear Physical and Occupational Therapy, LLC Occupational Therapist CurrentSince May 1, 2024 Accepting new patients

Locations

3150 US Highway 22
Branchburg, NJ 08876
Phone (908) 552-0996

3150 US Highway 22
Ste 1
Branchburg, NJ 08876
Phone 9087562424131

1011 US Highway 22
Bridgewater, NJ 08807

1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135

7 Newark Pompton Tpke
Riverdale, NJ 07457
Phone (973) 831-1100

454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 319-0132

459 Watchung Ave
Watchung, NJ 07069
Phone (908) 274-0988

10 Johnston Dr
Watchung, NJ 07069

36 W 44th St
Ste 403
New York, NY 10036
Phone (212) 759-2280

31 E 32nd St
Fl 4
New York, NY 10016
Phone (646) 973-5427

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1336768431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E 32ND ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165595",
            "telephone_number": "212-759-2282",
            "fax_number": "212-379-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WASHINGTON ST FL 2",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070307796",
            "telephone_number": "201-808-2245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 W 44th St Ste 403",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100368107",
            "country_code": "US",
            "telephone_number": "212-759-2282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPILOCK",
        "first_name": "CHRISTINE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024592",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00924400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "EVANGELISTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.