Thomas D Petzoldt, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 5763 Issued in CA

Practice address

1062 Saratoga Ave
San Jose, CA 95129-3402

Phone

(408) 261-7660

Fax

(408) 246-1574

NPI assigned

May 25, 2006

Sex

Male

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

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Petzoldt Memorial Hand Physical Therapy

  • Physical Therapy Clinic/Center
  • San Jose, CA
  • NPI 1497881932
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1790731677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 MOORPARK AVE",
            "address_2": "STE 103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171842",
            "telephone_number": "408-261-7660",
            "fax_number": "408-246-1574"
        },
        {
            "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",
            "fax_number": "408-246-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETZOLDT",
        "first_name": "THOMAS",
        "middle_name": "D",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 5763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manju Simha Petty, LMFT
• Steve Petty, MD
• Yoko Petty
• Andrew John Petulla, P.T.
• Petzoldt Memorial Hand Physical Therapy
• Elena Pezzini, PHD
• Loretta Mary Pfaff, M.F.T.
• Madison Pfaff, RBT
• Frank Hoa Pfeilsticker
• Eila Phailbus Latif, MA

• Occupational Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.