Nancy A. Petty, OTR CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT 3395 Issued in CA

Practice address

2945 Junipero Serra Blvd
Daly City, CA 94014-2549

Phone

(650) 755-6500

Fax

(650) 755-6565

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• P.S.M.R.C., LLC

  dba Peninsula Sports Medicine and Rehabilitation Center

  • Physical Therapist
  • Daly City, CA
  • NPI 1871666974
  NPD

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396828265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 JUNIPERO SERRA BLVD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142549",
            "telephone_number": "650-755-6500",
            "fax_number": "650-755-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 JUNIPERO SERRA BLVD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142549",
            "telephone_number": "650-755-6500",
            "fax_number": "650-755-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "NANCY",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "OTR CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT 3395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Rita Marie Perry
• Nathalie Perucho
• Peter Farmer Dental Corp (Campus Hights Dental)
• Ognjen Petras, M.D.
• Laurie Petronis, COUNSELOR
• Dominic Phan-Romero
• Jackie Phan, M.D.
• Niam Phan, OD
• Pharmacia Inc (1800 sullivan pharmacy)
• Physicians Surgery Center

• Hand Occupational Therapist in Daly City, CA
• Providers in Daly City, CA by specialty
• Hand Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.