Petzoldt Memorial Hand Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

OT5763 Issued in CA

Legal business name

PETZOLDT MEMORIAL HAND PHYSICAL THERAPY

Practice address

1062 Saratoga Ave
San Jose, CA 95129-3402

Phone

(408) 261-7660

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Thomas PetzoldtNPI 1790731677

Title

Therapist Owner

Phone

(408) 261-7660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas D Petzoldt, O.T.

  • Occupational Therapist
  • San Jose, CA
  • NPI 1790731677
  Medicare reassignment Authorized official
• Anne Marie Naudin, P.T.

  • Specialist
  • Fremont, CA
  • NPI 1306969407
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497881932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 SARATOGA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293402",
            "telephone_number": "408-261-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 SARATOGA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293402",
            "telephone_number": "408-261-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETZOLDT MEMORIAL HAND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETZOLDT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "THERAPIST OWNER",
        "authorized_official_telephone_number": "408-261-7660"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "OT5763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahleiah Amele Pettus-Johnson
• Manju Simha Petty, LMFT
• Steve Petty, MD
• Yoko Petty
• Andrew John Petulla, P.T.
• Thomas D Petzoldt, O.T.
• Elena Pezzini, PHD
• Loretta Mary Pfaff, M.F.T.
• Madison Pfaff, RBT
• Frank Hoa Pfeilsticker

• Physical Therapy Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.