Nicole Tetrault, OTR
NPI 1568873644 · Occupational Therapist · Shoreview, MN
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Tetrault, OTR is a Occupational Therapist provider in Shoreview, MN (NPI 1568873644).
Provider details
- NPI number
- 1568873644
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
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
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 4638 Victor Path Ste 100Hugo, MN 55038-4732Phone: (651) 407-3777
Registry dates
- Enumerated
- 2014-05-12
- Last updated
- 2022-11-29
- Certified
- 2022-11-29
Frequently asked questions
- What is Nicole Tetrault's NPI number?
- Nicole Tetrault's National Provider Identifier (NPI) is 1568873644, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Tetrault's specialty?
- Nicole Tetrault is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Nicole Tetrault located?
- Nicole Tetrault's practice location on file with NPPES is 490 Highway 96 W Ste 300, Shoreview, MN 55126-1961.
- What is Nicole Tetrault's phone number?
- The practice phone number listed in the NPPES registry for Nicole Tetrault is (651) 451-3016.
- Does Nicole Tetrault accept Medicare?
- Nicole Tetrault is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Tetrault's NPI active?
- Yes — Nicole Tetrault's NPI (1568873644) is active in the NPPES registry as of the last update on 2022-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.