Jennifer Wittenauer, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

KY-R2392 Issued in KY

Practice address

311 Ray St
Pleasanton, CA 94566-6621

Phone

(925) 399-5796

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Caterpillar Playground Occupational and Physical Therapy

  • Occupational Therapist
  • Livermore, CA
  • NPI 1033870498
  NPD Authorized official
• Teamwork Speech Therapy Inc

  • Clinic/Center
  • Pleasanton, CA
  • NPI 1053711838

  Occupational Therapist

  NPD
• Teamwork Therapies

  • Speech-Language Pathologist
  • Pleasanton, CA
  • NPI 1023984242

  Occupational Therapist

  NPD
• Celebrations Speech Group

  • Speech-Language Pathologist
  • Brentwood, CA
  • NPI 1447643085

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1295867810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 RAY ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666621",
            "telephone_number": "925-399-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 RAY ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666621",
            "telephone_number": "925-399-5796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "632 W 11th St Ste 119",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953763860",
            "country_code": "US",
            "telephone_number": "209-237-2484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTENAUER",
        "first_name": "JENNIFER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "KY-R2392",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "KY-R2392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAPY LICENSE",
            "identifier": "CA-19193",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS PROVIDER NUMB",
            "identifier": "1505",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.wittenauer@teamworktherapies.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "311 Ray St",
            "city": "Pleasanton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945666621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Neal E. Winblad, MFT
• Julianna Winer
• Barry C Winston, O.D.
• Lauren Winter, LMFT-I
• Kenneth Donovan Wishart, D.D.S.
• Mandy Anne Witthar
• Evan Derek Woehl, D.C.
• Richard A. Woldemar, BCBA
• Lori League Wolfe, NP
• Phillip A Wolfe, M.D.

• Pediatric Occupational Therapist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.