Jennica Vitug

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

031457 Issued in NY

Practice address

8705 218TH PL Apt 1R
Queens Village, NY 11427-1952

Phone

(347) 400-9417

NPI assigned

Sep 24, 2026

Last updated

Sep 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1639082373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 218TH PL APT 1R",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271952",
            "telephone_number": "347-400-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8705 218TH PL APT 1R",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271952",
            "telephone_number": "347-400-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITUG",
        "first_name": "JENNICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "031457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.