NICOLE TETRAULT OTR
NPI 1568873644
Occupational Therapist in Shoreview, MN

Active since May 12, 2014
490 HIGHWAY 96 W STE 300, SHOREVIEW, MN 55126(651) 451-3016 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 29, 2022, Feb 18, 2016 (2 updates tracked since 2016).

About Nicole Tetrault Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE TETRAULT OTR (NPI 1568873644) is an individual occupational therapist in Shoreview, Minnesota, licensed in Minnesota (104647) and active in the NPI registry since May 2014. She maintains a secondary practice location in Hugo.

NPPES Registry Identity

NPI1568873644
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameNICOLE TETRAULTCredential: OTR
Location Address490 HIGHWAY 96 W STE 300Shoreview, MN 55126-1961
Mailing Address490 Highway 96 W Ste 300Shoreview, MN 55126-1961 · (651) 451-3016
Sole ProprietorYes
Enumeration DateMay 12, 2014
Last NPPES UpdateNovember 29, 20222 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
NPI 1568873644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in MN · 104647
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
490 HIGHWAY 96 W STE 300, Shoreview, MN 55126

Secondary Practice Location 1

Location 14638 Victor Path Ste 100Hugo, MN 55038-4732 · Phone (651) 407-3777

Other Identifiers 1

Medicaid200603998MN

Accepted Insurance

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
490 HIGHWAY 96 W STE 300
SHOREVIEW, MN 55126
Speech-Language Pathologist
490 HIGHWAY 96 W STE 300
SHOREVIEW, MN 55126
Speech-Language Pathologist
490 HIGHWAY 96 W STE 300
SHOREVIEW, MN 55126
Speech-Language Pathologist
490 HIGHWAY 96 W STE 300
SHOREVIEW, MN 55126
Occupational Therapist
490 HIGHWAY 96 W STE 300
SHOREVIEW, MN 55126
Occupational Therapist (Pediatrics)
490 HIGHWAY 96 W STE 300
SHOREVIEW, MN 55126
Occupational Therapist (Pediatrics)
490 HIGHWAY 96 W STE 300
SHOREVIEW, MN 55126
Speech-Language Pathologist
490 HIGHWAY 96 W STE 300
SHOREVIEW, MN 55126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Tetrault's NPI number?

The NPI number for Nicole Tetrault is 1568873644. It was assigned to this individual provider in the NPPES registry on May 12, 2014.

Where is Nicole Tetrault located?

Nicole Tetrault practices at 490 Highway 96 W Ste 300, Shoreview, MN 55126. The listed phone number is (651) 451-3016.

What is Nicole Tetrault's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

What insurance does Nicole Tetrault accept?

Health plans from Medica list Nicole Tetrault as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Tetrault was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.