Active NPI
Angela J Witucki, O.T.
- Occupational Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 3375
- Practice address
- 9988 Hibert St Ste 208
San Diego, CA 92131-2480 - Phone
- (858) 227-7229
- Fax
- (858) 221-4177
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 3375 | CA | Primary |
Addresses
Primary practice location
9988 Hibert St Ste 208
San Diego, CA 92131-2480
Mailing address
1965 5TH Ave
Ste 170
San Diego, CA 92101-2300
Phone (619) 851-6072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10670 Wexford St
San Diego, CA 92131-3940
Phone (858) 621-4002
16950 Via Tazon
San Diego, CA 92127-1607
Phone (858) 499-2600
480 H St
Chula Vista, CA 91910-4328
Phone (858) 499-2600
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 81.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 3375 | CA | MD | Occupational Therapist |
| 3375 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Mission Occupational and Hand Therapy Services Apc | Current | Accepting new patients |
Locations
9988 Hibert St
Ste 208
San Diego, CA 92131
Phone (858) 227-7229
9610 Granite Ridge Dr
San Diego, CA 92123
Phone (858) 505-5400
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
-
- Hand Occupational Therapist
- San Diego, CA
- NPI 1073117925
-
- Optometrist
- San Diego, CA
- NPI 1063172351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728777600000",
"number": "1477503514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 5TH AVE",
"address_2": "STE 170",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012300",
"telephone_number": "619-851-6072",
"fax_number": "619-241-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9988 HIBERT ST STE 208",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921312480",
"telephone_number": "858-227-7229",
"fax_number": "858-221-4177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITUCKI",
"first_name": "ANGELA",
"middle_name": "J",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2024-10-13",
"certification_date": "2024-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 3375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.