Courtney Petramale, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

15205 Issued in MA

Practice address

169 Valentine Rd
Pittsfield, MA 01201-3042

Phone

(413) 445-2300

NPI assigned

Aug 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1740954650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROADWAY APT 126",
            "city": "MENANDS",
            "state": "NY",
            "postal_code": "122043009",
            "telephone_number": "518-965-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 VALENTINE RD",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012013042",
            "telephone_number": "413-445-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Riverbend Rd",
            "address_purpose": "LOCATION",
            "city": "Saugerties",
            "state": "NY",
            "postal_code": "124773156",
            "country_code": "US",
            "telephone_number": "518-965-6676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Lucas Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124013708",
            "country_code": "US",
            "telephone_number": "845-514-2094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRAMALE",
        "first_name": "COURTNEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2024-01-02",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025836",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "15205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Persoff, LICSW
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• Nancy M Petersen, NP
• Sadie Pettyjohn
• Joseph Lawrence Pfeifer, MD
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• Phelps-Smith LLC
• Rebecca Lynn Phelps-Smith, LICSW

• Occupational Therapist in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.