Organization Active NPI

Caterpillar Playground Occupational and Physical Therapy

  • Occupational Therapist
  • Livermore, CA
National Provider Identifier
1033870498
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CATERPILLAR PLAYGROUND OCCUPATIONAL AND PHYSICAL THERAPY
Practice address
1372 Concannon Blvd
Livermore, CA 94550-6004
Phone
(502) 264-9353
NPI assigned
Jan 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Jennifer Wittenauer, OTR/LNPI 1295867810
Title
Owner / President
Phone
(502) 299-7837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

1372 Concannon Blvd
Livermore, CA 94550-6004

Mailing address

1372 Concannon Blvd
Livermore, CA 94550-6004
Phone (502) 264-9353

Other identifiers 3

IdentifierTypeStateIssuer
19193OtherCACALIFORNIA BOARD OF OT
355313OtherKYKENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY
1295867810OtherKYINDIVIDUAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://jennifer-wittenauer.clientsecure.me

National Provider Directory

National Provider Directory

Locations

1372 Concannon Blvd
Livermore, CA 94550
Phone (502) 264-9353

1418 Concannon Blvd
Livermore, CA 94550

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1033870498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 CONCANNON BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506004",
            "telephone_number": "502-264-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 CONCANNON BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506004",
            "telephone_number": "502-264-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATERPILLAR PLAYGROUND OCCUPATIONAL AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "WITTENAUER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "502-299-7837",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF OT",
            "identifier": "19193",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY",
            "identifier": "355313",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1295867810",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://jennifer-wittenauer.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Secure Client Portal - Simple Practice",
            "address_1": "4112 Wells St",
            "city": "Pleasanton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945665652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.