Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jenine K Tubergen, OTR/L

Individual provider Occupational Therapist · NPI 1104090919

Jenine K Tubergen, OTR/L is an Occupational Therapist in Private Practice in Chicago, Illinois. Qualified in 2000, 26 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
26
Licensed in
IL
In the registry since
2008
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

345 E Superior St
Chicago, IL 60611-2654
Phone: (312) 238-1228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X (IL)

Record details

NPI number1104090919
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedApril 14, 2008
Last updated in NPPESApril 14, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated

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