JENINE K TUBERGEN OTR/L
NPI 1104090919
Occupational Therapist in Chicago, IL

Active since April 14, 2008
345 E SUPERIOR ST, CHICAGO, IL 60611(312) 238-1228 Get Directions Write a Review

NPPES record last updated: April 14, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jenine K Tubergen Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENINE K TUBERGEN OTR/L (NPI 1104090919) is an individual occupational therapist in Chicago, Illinois and active in the NPI registry since April 2008. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1104090919
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJENINE K TUBERGENCredential: OTR/L
Location Address345 E SUPERIOR STChicago, IL 60611-2654
Mailing Address1943 Greenwood AveWilmette, IL 60091-1437
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateApril 14, 2008
✔ NPI 1104090919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
345 E SUPERIOR ST, Chicago, IL 60611

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenine K Tubergen Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527547173
PECOS Enrollment IDI20260204003002

Medicare Billing Reassignment

Medicare enrollment records show Jenine Tubergen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
8140 MCCORMICK BLVD STE 141
Skokie, IL 60076
  • Reassigned Medicare billing, Illinois enrollment
  • 60 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Physical Rehabilitation)
345 E SUPERIOR ST
CHICAGO, IL 60611
Physical Therapist
345 E SUPERIOR ST
CHICAGO, IL 60611
Physical Medicine & Rehabilitation
345 E SUPERIOR ST, 16TH FLOOR
CHICAGO, IL 60611
Speech-Language Pathologist
345 E SUPERIOR ST
CHICAGO, IL 60611
Occupational Therapist
345 E SUPERIOR ST
CHICAGO, IL 60611
Physical Therapist
345 E SUPERIOR ST
CHICAGO, IL 60611
Physical Therapist (Neurology)
345 E SUPERIOR ST
CHICAGO, IL 60611
Physical Therapist
345 E SUPERIOR ST
CHICAGO, IL 60611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenine Tubergen's NPI number?

The NPI number for Jenine Tubergen is 1104090919. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Where is Jenine Tubergen located?

Jenine Tubergen practices at 345 E Superior St, Chicago, IL 60611. The listed phone number is (312) 238-1228.

What is Jenine Tubergen's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Jenine Tubergen enrolled in Medicare?

Yes. Jenine Tubergen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jenine Tubergen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenine Tubergen reassigns Medicare benefits to Illinois Home Therapy LLC (Skokie, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenine Tubergen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jenine Tubergen was last updated on April 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.