Individual provider Active NPI

Delanie Jean Vitosh, OTD, OTR/L

  • Occupational Therapist
  • Grand Island, NE
National Provider Identifier
1962192252
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2712 Issued in NE
Practice address
3721 W Capital Ave Apt B-302
Grand Island, NE 68803-1207
Phone
(402) 239-5027
Fax
(308) 398-5175
NPI assigned
May 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2921 ID
Occupational Therapist 225X00000X 009750 AZ
Occupational Therapist 225X00000X 2712 NE Primary

Addresses

Primary practice location

3721 W Capital Ave Apt B-302
Grand Island, NE 68803-1207

Mailing address

3721 W Capital Ave Apt B-302
Grand Island, NE 68803-1207
Phone (402) 239-5027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250515002325 AK Practitioner - Occupational Therapist in Private Practice 7618334764 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009750AZMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2712NEMDPhysical Therapist
2921IDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Borealis Chiropractic Inc CurrentSince May 9, 2025 Accepting new patients
Revolution Sport & Spine Therapy LLC CurrentSince May 9, 2025 Accepting new patients

Locations

35249 Kenai Spur Hwy
Ste C
Soldotna, AK 99669
Phone (907) 420-0836

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1962192252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 W CAPITAL AVE APT B-302",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031207",
            "telephone_number": "402-239-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 W CAPITAL AVE APT B-302",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031207",
            "telephone_number": "402-239-5027",
            "fax_number": "308-398-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITOSH",
        "first_name": "DELANIE",
        "middle_name": "JEAN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "2921",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "009750",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.