Individual provider Active NPI

Karen M. Pettengill, MS, OTR/L, CHT

  • Occupational Therapist
  • Springfield, MA
National Provider Identifier
1841251618
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2269 Issued in MA
Practice address
3550 Main St
Suite 203
Springfield, MA 01107-1089
Phone
(413) 733-3939
Fax
(413) 733-7062
NPI assigned
Mar 31, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2269 MA Primary

Addresses

Primary practice location

3550 Main St
Suite 203
Springfield, MA 01107-1089

Mailing address

25 Raingley Rd
Greenfield, MA 01301-1208
Phone (413) 772-0939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230921003946 MA Practitioner - Occupational Therapist in Private Practice 2668385899 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2269MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc CurrentSince Aug 28, 2023 Accepting new patients

Locations

306A High St
Greenfield, MA 01301
Phone (413) 773-3379

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841251618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 RAINGLEY RD",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011208",
            "telephone_number": "413-772-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 MAIN ST",
            "address_2": "SUITE 203",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071089",
            "telephone_number": "413-733-3939",
            "fax_number": "413-733-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTENGILL",
        "first_name": "KAREN",
        "middle_name": "M.",
        "credential": "MS, OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "2269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.