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

Paul Lindsay Pettyjohn, OT

Individual provider Occupational Therapist · NPI 1952469686

Paul Lindsay Pettyjohn, OT is an Occupational Therapist in Private Practice in Glendale, California. Graduated from Texas Tech University Health Science Center School of Medicine in 1997, 29 years ago. Practices with Humboldt Hand and Foot Therapy, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

500 N Central Ave Ste 850
Glendale, CA 91203-3354
Phone: (818) 549-9764
Fax: (818) 549-9767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 N Barranca St Ste 380, West Covina, CA 91791-1637 — (626) 331-8355

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 15275 (CA)

Record details

NPI number1952469686
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorNo
NPI enumeratedDecember 5, 2006
Last updated in NPPESAugust 30, 2021
Certification dateAugust 30, 2021

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Humboldt Hand And Foot Therapy — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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