Paul Lindsay Pettyjohn, OT
NPI 1952469686ActiveIndividual· Occupational Therapist· Glendale, CA
Occupational Therapist (OT) in Glendale, California, trained at Texas Tech University Health Science Center School of Medicine (class of 1997). Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1952469686 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OT |
| Sole proprietor | No |
| NPI issued | Dec 5, 2006 |
| Last updated in NPPES | Aug 30, 2021 |
| Certified by provider | Aug 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 15275 | 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) |
|---|
Education and affiliations
| Medical school | Texas Tech University Health Science Center School of Medicine |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Humboldt Hand and Foot TherapyEureka, CA · 4 clinicians
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All 48 occupational therapists in Glendale · All occupational therapists in California