Individual provider · Type 1 NPI

Evangelene Evangelista, COTA/L

Occupational Therapy Assistant · Chicago, IL

NPI number 1669343158 Active

Practice location

929 W Foster Ave
Chicago, IL 60640-1491

Mailing address

5915 N Campbell Ave Apt 2
Chicago, IL 60659-5062

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.006234 (IL)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1669343158

Evangelene Evangelista, COTA/L's National Provider Identifier is 1669343158, issued on Sep 16, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 16, 2025.