PAUL LINDSAY PETTYJOHN OT
NPI 1952469686
Occupational Therapist in Glendale, CA
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Paul Pettyjohn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Eureka, CA 95501
- Reassigned Medicare billing, California enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Paul Pettyjohn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Pettyjohn reassigns Medicare benefits to Humboldt Hand And Foot Therapy (Eureka, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Pettyjohn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 5 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.