Individual provider Active NPI

Elizabeth Ann Zeller, OTR/L, CLT

  • Occupational Therapist
  • Edgartown, MA
National Provider Identifier
1861024143
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9809 Issued in MA
Practice address
40 20TH St N
Edgartown, MA 02539
Phone
(617) 642-2384
NPI assigned
Feb 5, 2020
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9809 MA Primary

Addresses

Primary practice location

40 20TH St N
Edgartown, MA 02539

Mailing address

PO Box 1524
Oak Bluffs, MA 02557-1524
Phone (617) 642-2384

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200303000867 MA Practitioner - Occupational Therapist in Private Practice 4183051295 Reassigns benefits to 1 organization
Practice locations: Edgartown, MA

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Tufts University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

238 Edgartown Vineyard Haven Rd
Unit 1
Edgartown, MA 02539-6932
Phone (508) 693-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9809MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vineyard Complementary Medicine, Inc Occupational Therapist CurrentSince Dec 1, 2020 Accepting new patients
MV Occupational Therapy LLC Occupational Therapist CurrentSince May 1, 2025 Accepting new patients

Locations

238 Edgartown Vineyard Haven Rd
Unit 1
Edgartown, MA 02539
Phone (508) 693-3800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1861024143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1524",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571524",
            "telephone_number": "617-642-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 20TH ST N",
            "city": "EDGARTOWN",
            "state": "MA",
            "postal_code": "02539",
            "telephone_number": "617-642-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "OTR/L, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "9809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgartown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.