Caitlin Michelle Tetherow, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

14083185-4201 Issued in UT

Practice address

90 Albion Village Way
Sandy, UT 84070-4013

Phone

(801) 619-3670

Fax

(801) 619-3679

NPI assigned

Sep 25, 2024

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

Enrolled in UT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Dr. Dale B. Hull Foundation for Neurological Rehabilitation, Inc.Group PAC ID 3173591849, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Dr. Dale B. Hull Foundation for Neurological Rehabilitation, Inc.

  dba Neuroworx

  • Neurology Physical Therapist
  • Sandy, UT
  • NPI 1235321811

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1891512299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 ALBION VILLAGE WAY",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704013",
            "telephone_number": "801-619-3670",
            "fax_number": "801-619-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ALBION VILLAGE WAY",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704013",
            "telephone_number": "801-619-3670",
            "fax_number": "801-619-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETHEROW",
        "first_name": "CAITLIN",
        "middle_name": "MICHELLE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "14083185-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Taylor, RN, BSN
• Stephen D Taylor, MD
• Mathew R Tempest, MD
• Brian James Terry, DPT
• Kayleen Terry, A.P.R.N.
• The Addiction Medicine Physicians Group, LLC
• The Cataract Vision Institute LLC
• The Dr. Dale B. Hull Foundation for Neurological Rehabilitation, Inc. (Neuroworx)
• The Health Spot, Inc. (The Health Spot)
• The Living Room Therapy and Wellness LLC

• Occupational Therapist in Sandy, UT
• Providers in Sandy, UT by specialty
• Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.