Thomas D. Petzoldt, O.T.
NPI 1790731677ActiveIndividual· Occupational Therapist· San Jose, CA
Occupational Therapist (O.T.) in San Jose, California, licensed in CA, with an NPI issued in May 2006. Medicare paid $35,872 for services to 34 patients in 2024.
Overview
| NPI | 1790731677 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.T. |
| Sole proprietor | Yes |
| NPI issued | May 25, 2006 |
| Last updated in NPPES | Jun 13, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT 5763 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 34 |
|---|---|
| Services billed | 1,698 across 5 procedure codes |
| Paid by Medicare | $35,872 |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
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All 259 occupational therapists in San Jose · All occupational therapists in California