Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tamara Mae Ruedebusch, OTR/L

Individual provider Occupational Therapist · NPI 1497319107

Tamara Mae Ruedebusch, OTR/L is an Occupational Therapist in Private Practice in Eden Prairie, Minnesota. Qualified in 2018, 8 years ago. Practices with Active Therapy Mn, a 22-clinician group. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2019
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

10300 Hennepin Town Rd
Eden Prairie, MN 55347-5100
Phone: (612) 562-8204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 105987 (MN)

Record details

NPI number1497319107
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 28, 2019
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Active Therapy Mn — 22 clinicians
Accepts Medicare assignment Not indicated

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