Catherine Nicole Tetzlaff Mundo, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6118 Issued in MA

Practice address

104 Endicott St Ste LL02
Danvers, MA 01923-3688

Phone

(617) 724-0160

NPI assigned

Feb 9, 2021

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

Other names 1

• Ms. Catherine Nicole Tetzlaff Former name

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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1992397053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CONGRESS ST STE 211",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705529",
            "telephone_number": "978-825-8800",
            "fax_number": "978-740-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ENDICOTT ST STE LL02",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233688",
            "telephone_number": "617-724-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDO",
        "first_name": "CATHERINE",
        "middle_name": "NICOLE TETZLAFF",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "6118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "TETZLAFF",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tara Danielle Mukasa
• Cybil Mukiria, PHARMD
• Jacqueline Mullens
• Mulman Health Services (Senior Helpers)
• Eliza Mulvey
• Brianna Alyssa Munroe, B.A.
• Derrick Munyon
• Barbara J Murkison
• Amy Murphy
• Caitlin Fox Murphy, B.A.

• Occupational Therapist in Danvers, MA
• Providers in Danvers, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.