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

Mr. Carl Anthony Petitto, OT/L

Individual provider Occupational Therapist · NPI 1245217066

Mr. Carl Anthony Petitto, OT/L is an Occupational Therapist in Private Practice in Watertown, New York. Qualified in 2000, 26 years ago. Practices with Samaritan Medical Practice PC, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2005
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Practice location Address checks out

22567 Summit Dr Bldg 2
Watertown, NY 13601-7210
Phone: (315) 779-6784
Fax: (315) 779-6799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21101 State Route 12f, Watertown, NY 13601-1078 — (315) 782-0440

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 0107001 (NY)

Record details

NPI number1245217066
Entity typeIndividual (Type 1)
GenderMale
Credentials OT/L
Sole proprietorYes
NPI enumeratedDecember 22, 2005
Last updated in NPPESJuly 6, 2022
Certification dateJuly 6, 2022

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Samaritan Medical Practice Pc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Watertown