Audrey Petit, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT008231 Issued in OH

Practice address

1650 Ridgeview Rd
Columbus, OH 43221-2962

Phone

(614) 487-5200

NPI assigned

May 30, 2017

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437687811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 TIMBER RUN DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432044119",
            "telephone_number": "614-260-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 RIDGEVIEW RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212962",
            "telephone_number": "614-487-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4770 Burbank Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432202800",
            "country_code": "US",
            "telephone_number": "614-487-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETIT",
        "first_name": "AUDREY",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT008231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharday A Peterson
• Tina L Peterson, RN
• Wanda J Peterson
• William Peterson
• Zachary Alan Peterson, CDCA
• Sidra Petit, PT, DPT, CCS
• Makahla Nicole Petitto
• Dario Petkovic, PT
• Kayla Durkin Petkus, PHARMD
• Abigail Petrecca

• Occupational Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.