Individual provider Active NPI

Cathryn J Andberg, OT

  • Occupational Therapist
  • Duluth, MN
National Provider Identifier
1437424405
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
114 S 20TH Ave W
Duluth, MN 55806-3526
Phone
(218) 721-4732
Fax
(218) 491-7185
NPI assigned
Mar 9, 2012
Last updated
Mar 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

114 S 20TH Ave W
Duluth, MN 55806-3526

Mailing address

114 S 20TH Ave W
Duluth, MN 55806-3526
Phone (218) 721-4732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1437424405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S 20TH AVE W",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558063526",
            "telephone_number": "218-721-4732",
            "fax_number": "218-491-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S 20TH AVE W",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558063526",
            "telephone_number": "218-721-4732",
            "fax_number": "218-491-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDBERG",
        "first_name": "CATHRYN",
        "middle_name": "J",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.