Andrew Petulla, P.T.
NPI 1063426807 · Specialist · San Jose, CA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrew Petulla, P.T. is a Specialist provider in San Jose, CA (NPI 1063426807).
Provider details
- NPI number
- 1063426807
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT15558 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
10,045 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 6,111 | $28 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 2,363 | $23 |
| Application of Ultrasound, Each 15 Minutes97035 | 884 | $12 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 361 | $39 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 196 | $116 |
| Therapy Procedure Using Functional Activities97530 | 70 | $31 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2007-07-08
Frequently asked questions
- What is Andrew Petulla's NPI number?
- Andrew Petulla's National Provider Identifier (NPI) is 1063426807, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Petulla's specialty?
- Andrew Petulla is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Andrew Petulla located?
- Andrew Petulla's practice location on file with NPPES is 2048 Lincoln Ave, San Jose, CA 95125-3449.
- What is Andrew Petulla's phone number?
- The practice phone number listed in the NPPES registry for Andrew Petulla is (408) 448-1677.
- Does Andrew Petulla accept Medicare?
- Andrew Petulla is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrew Petulla's NPI active?
- Yes — Andrew Petulla's NPI (1063426807) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.