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

Rumen Antoniev Petkov, OT

Individual provider Occupational Therapist · NPI 1245613553

Rumen Antoniev Petkov, OT is an Occupational Therapist in Private Practice in Glendale, Arizona. Graduated from At Still University, Arizona School of Dentistry & Oral Hlth in 2019, 7 years ago. Practices with Petkov Bodywork Therapy LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Trained at
At Still University, Arizona School of Dentistry & Oral Hlth
Licensed in
AZ
In the registry since
2015
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

5168 W Augusta Ave
Glendale, AZ 85301-1469
Phone: (651) 442-5094
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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 OTH-007999 (AZ)

Record details

NPI number1245613553
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorNo
NPI enumeratedJuly 6, 2015
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolAT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Graduated 2019 (7 years in practice)
Group practice Petkov Bodywork Therapy Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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