Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evan Conquest, OTR/L

Individual provider Occupational Therapist · NPI 1265946057

Evan Conquest, OTR/L is an Occupational Therapist in Private Practice in Vernon, New Jersey. Qualified in 2017, 9 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2017
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

212 State Rt 94 Ste 2G&2H
Vernon, NJ 07462-3328
Phone: (973) 209-0086
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Bloomfield Ave, Denville, NJ 07834-2735 — (973) 664-9899

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR00802100 (NJ)
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1265946057
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedDecember 1, 2017
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021
Mailing address135 Butler Pkwy, Summit, NJ 07901-1439

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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