Elizabeth Ann Zeller, OTR/L, CLT
Individual provider Active NPI Occupational Therapist · Edgartown, MA
NPI 1861024143 · NPPES record last updated Sep 18, 2025
Key facts
- NPI
- 1861024143
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 9809 (MA)
- Practice address
- 40 20TH St N
Edgartown, MA 02539 - Phone
- (617) 642-2384
- NPI assigned
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- 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
- Vineyard Complementary Medicine Inc
Practice addresses (Care Compare)
238 Edgartown Vineyard Haven Rd
Unit 1
Edgartown, MA 02539-6932
Phone (508) 693-3800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200303000867 | MA | Practitioner - Occupational Therapist in Private Practice | 4183051295 |
Reassigns benefits to 1 organization Practice locations: Edgartown, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9809 | MA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MV Occupational Therapy LLC | Occupational Therapist | Current |
Accepting new patients |
| Vineyard Complementary Medicine, Inc | Occupational Therapist | Current |
Accepting new patients |
Locations
238 Edgartown Vineyard Haven Rd
Unit 1
Edgartown, MA 02539
Phone (508) 693-3800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9809 | MA | Yes |
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
Other providers in Edgartown, MA
- Vineyard Complementary Medicine Inc.
- Vineyard Complementary Medicine Inc.
- Vineyard Complementary Medicine, Inc
- Vineyard Nutrition LLC
- Lauren Elizabeth Vukota
All providers in Edgartown, MA · Occupational Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.