Active NPI
Caterpillar Playground Occupational and Physical Therapy
- Occupational Therapist
- Livermore, CA
National Provider Identifier
1033870498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Wittenauer, OTR/L
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19193 | Other | CA | CALIFORNIA BOARD OF OT |
| 355313 | Other | KY | KENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY |
| 1295867810 | Other | KY | INDIVIDUAL NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://jennifer-wittenauer.clientsecure.me |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Occupational Therapist
- Pleasanton, CA
- NPI 1295867810
-
- Speech-Language Pathologist
- Pleasanton, CA
- NPI 1699844555
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.