Laura Gunderson, MOT, OTR/L, CLT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

104106 Issued in MN

Practice address

4442 Manor Dr NW
Rochester, MN 55901-7413

Phone

(701) 739-3495

NPI assigned

Feb 19, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1134511785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4442 MANOR DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559017413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4442 MANOR DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559017413",
            "telephone_number": "701-739-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERSON",
        "first_name": "LAURA",
        "credential": "MOT, OTR/L, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Daniel Gullickson, MD
• Madugodaralalage Don Kumari Gunaratne, M. B. B. S
• Sharadha Devi Gunasekaran
• Gundersen Lutheran Medical Center Inc
• Jaclyn Gunderson
• Ahmet K Gunduz, MD
• Cole Grant Gunneson, PA-C
• Timothy J Gunneson, PA-C
• Anshul Ravi Gupta, MD
• Milli Gupta, MD

• Occupational Therapist in Rochester, MN
• Providers in Rochester, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.