Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew John Petulla, PT

Individual provider Specialist · NPI 1063426807

Andrew John Petulla, PT is a Physical Therapist in Private Practice in San Jose, California. Qualified in 1988, 38 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
38
Licensed in
CA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2048 Lincoln Ave
San Jose, CA 95125-3449
Phone: (408) 448-1677
Fax: (408) 448-7060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence PT15558 (CA)

Record details

NPI number1063426807
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 28, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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