Nicole Petruso, OTR
NPI 1629560990 · Pediatric Occupational Therapist · La Mesa, CA
Nicole Petruso, OTR is a Pediatric Occupational Therapist provider in La Mesa, CA (NPI 1629560990).
Provider details
- NPI number
- 1629560990
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- License
- 26623 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-06-03
- Last updated
- 2024-11-15
- Certified
- 2024-11-15
Frequently asked questions
- What is Nicole Petruso's NPI number?
- Nicole Petruso's National Provider Identifier (NPI) is 1629560990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Petruso's specialty?
- Nicole Petruso is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Nicole Petruso located?
- Nicole Petruso's practice location on file with NPPES is 8030 La Mesa Blvd # 416, La Mesa, CA 91942-0335.
- What is Nicole Petruso's phone number?
- The practice phone number listed in the NPPES registry for Nicole Petruso is (619) 567-9448.
- Is Nicole Petruso's NPI active?
- Yes — Nicole Petruso's NPI (1629560990) is active in the NPPES registry as of the last update on 2024-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.