Carl Petitto OT PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

010700 Issued in NY

Legal business name

CARL PETITTO OT PLLC

Practice address

21101 State Route 12F
Suite 5
Watertown, NY 13601-1078

Phone

(315) 782-0440

Fax

(315) 782-5349

NPI assigned

Apr 30, 2014

Last updated

Sep 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carl A Petitto, OT

Title

Owner

Phone

(315) 782-0440

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tomm L Maxon, D.C.

  • Chiropractor
  • Watertown, NY
  • NPI 1811967201
  NPD (past)
• Renee Jean Petitto, D.C

  • Chiropractor
  • Fort Drum, NY
  • NPI 1639493562
  NPD (past)

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1427468388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21101 STATE ROUTE 12F",
            "address_2": "SUITE 5",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011078",
            "telephone_number": "315-782-0440",
            "fax_number": "315-782-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21101 STATE ROUTE 12F",
            "address_2": "SUITE 5",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011078",
            "telephone_number": "315-782-0440",
            "fax_number": "315-782-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL PETITTO OT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "PETITTO",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-782-0440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Campbell, DO
• Marco Alfredo Campitelli, M.D
• Cani PT OT SLP & Psychology PLLC
• Requisha Champagne Cannon
• Jacqueline Lee Capone
• Sue A Carley-Graves, NP
• Abbigail F Carroll, LPN
• Susan M Carroll
• Kristen Castana, OT
• Anna Castilleja

• Occupational Therapist in Watertown, NY
• Providers in Watertown, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.