PAUL LINDSAY PETTYJOHN OT
NPI 1952469686
Occupational Therapist in Glendale, CA

Active since December 05, 2006Accepts Medicare Assignment
500 N CENTRAL AVE STE 850, GLENDALE, CA 91203(818) 549-9764(818) 549-9767 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Mar 6, 2018 (2 updates tracked since 2018).

About Paul Lindsay Pettyjohn Ot NPPES

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

PAUL LINDSAY PETTYJOHN OT (NPI 1952469686) is an individual occupational therapist in Glendale, California, licensed in California (15275) and active in the NPI registry since December 2006. He maintains a secondary practice location in West Covina and is a graduate of Texas Tech University Health Science Center School Of Medicine (1997).

NPPES Registry Identity

NPI1952469686
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NamePAUL LINDSAY PETTYJOHNCredential: OT
Location Address500 N CENTRAL AVE STE 850Glendale, CA 91203-3354
Mailing Address1845 Business Center Dr Ste 127San Bernardino, CA 92408-3434 · (909) 890-9030 · Fax (909) 890-4393
Fax(818) 549-9767
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1997
Enumeration DateDecember 5, 2006
Last NPPES UpdateAugust 30, 20212 updates tracked since enumeration
NPPES CertifiedAugust 30, 2021
NPI 1952469686 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 · 15275
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.
500 N CENTRAL AVE STE 850, Glendale, CA 91203

Other Names 1

Other Name (5)Paul Munro

Secondary Practice Location 1

Location 1100 N Barranca St Ste 380West Covina, CA 91791-1637 · Phone (626) 331-8355 · Fax (909) 890-4393

Other Identifiers 1

Other15275CA · Occupational Therapy

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

Paul Lindsay Pettyjohn Ot 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 ID2466446166
PECOS Enrollment IDI20160405002485

Other Providers at the Same Location NPPES 5

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

Occupational Therapist
500 N CENTRAL AVE STE 850
GLENDALE, CA 91203
Physical Therapist
500 N CENTRAL AVE STE 850
GLENDALE, CA 91203
Speech-Language Pathologist
500 N CENTRAL AVE STE 850
GLENDALE, CA 91203
Physical Therapist
500 N CENTRAL AVE STE 850
GLENDALE, CA 91203
Physical Therapist
500 N CENTRAL AVE STE 850
GLENDALE, CA 91203

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 Paul Pettyjohn's NPI number?

The NPI number for Paul Pettyjohn is 1952469686. It was assigned to this individual provider in the NPPES registry on December 5, 2006. The provider is also known as Paul Munro.

Where is Paul Pettyjohn located?

Paul Pettyjohn practices at 500 N Central Ave Ste 850, Glendale, CA 91203. The listed phone number is (818) 549-9764.

What is Paul Pettyjohn's specialty?

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

Is Paul Pettyjohn enrolled in Medicare?

Yes. Paul Pettyjohn 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 Paul Pettyjohn was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.