THOMAS D PETZOLDT O.T.
NPI 1790731677
Occupational Therapist in San Jose, CA

Active since May 25, 2006Accepts Medicare Assignment
1062 SARATOGA AVE, SAN JOSE, CA 95129(408) 261-7660(408) 246-1574 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas D Petzoldt O.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS D PETZOLDT O.T. (NPI 1790731677) is an individual occupational therapist in San Jose, California, licensed in California (OT 5763) and active in the NPI registry since May 2006. He is a graduate of Other (1997).

NPPES Registry Identity

NPI1790731677
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameTHOMAS D PETZOLDTCredential: O.T.
Location Address1062 SARATOGA AVESan Jose, CA 95129-3402
Mailing Address4010 Moorpark Ave, Ste 103San Jose, CA 95117-1842 · (408) 261-7660 · Fax (408) 246-1574
Fax(408) 246-1574
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateMay 25, 2006
Last NPPES UpdateJune 13, 2018
NPI 1790731677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in CA · OT 5763
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1062 SARATOGA AVE, San Jose, CA 95129

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thomas D Petzoldt O.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537156765
PECOS Enrollment IDI20040428001452

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
839 services34 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
834 services34 patients
Evaluation for occupational therapy, typically 30 minutes 97165
An evaluation for occupational therapy is a process where a therapist assesses your physical and mental abilities to perform daily activities. This 30-minute session helps identify any difficulties you may have and develop strategies for improvement.
23 services23 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiologic Technologist (Sonography)
1062 SARATOGA AVE
SAN JOSE, CA 95129
Dentist (General Practice)
1062 SARATOGA AVE
SAN JOSE, CA 95129
Clinic/Center (Physical Therapy)
1062 SARATOGA AVE
SAN JOSE, CA 95129

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Petzoldt's NPI number?

The NPI number for Thomas Petzoldt is 1790731677. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Thomas Petzoldt located?

Thomas Petzoldt practices at 1062 Saratoga Ave, San Jose, CA 95129. The listed phone number is (408) 261-7660.

What is Thomas Petzoldt's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Thomas Petzoldt enrolled in Medicare?

Yes. Thomas Petzoldt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Thomas Petzoldt was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.