Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Korinne Nicole Petris, OTR/L

Individual provider Occupational Therapist · NPI 1255288304

Korinne Nicole Petris, OTR/L is an Occupational Therapist in Private Practice in Sherman Oaks, California. Qualified in 2017, 9 years ago. Practices with Orthopaedic and Neurological Rehab Inc, a 417-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2026
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

5450 Vesper Ave
Sherman Oaks, CA 91411-4221
Phone: (747) 277-3990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 17821 (CA)

Record details

NPI number1255288304
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 16, 2026
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Orthopaedic And Neurological Rehab Inc — 417 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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