Active NPI
Kaitlyn Irene Schroeder, OTR
- Occupational Therapist
- Mentor, OH
National Provider Identifier
1154817955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT010972
- Practice address
- 7960 Center St
Mentor, OH 44060-7863 - Phone
- (440) 299-8490
- NPI assigned
- Jul 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | U1-0001910 | DE | |
| Occupational Therapist | 225X00000X | OT010972 | OH | Primary |
Addresses
Primary practice location
7960 Center St
Mentor, OH 44060-7863
Mailing address
2260 Par LN Apt 309
Willoughby Hills, OH 44094-2946
Phone (216) 832-4363
Other practice location 1
1100 Norman Eskridge Hwy
Seaford, DE 19973-1724
Phone (302) 629-3575
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U1-0001910 | DE | MD | Occupational Therapist |
| OT010972 | OH | MD | Occupational Therapist |
Interoperability endpoints
- kthomas39323@ehrdirect.uhhospitals.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1154817955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 PAR LN APT 309",
"city": "WILLOUGHBY HILLS",
"state": "OH",
"postal_code": "440942946",
"telephone_number": "216-832-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7960 CENTER ST",
"city": "MENTOR",
"state": "OH",
"postal_code": "440607863",
"telephone_number": "440-299-8490"
}
],
"practiceLocations": [
{
"address_1": "1100 Norman Eskridge Hwy",
"address_purpose": "LOCATION",
"city": "Seaford",
"state": "DE",
"postal_code": "199731724",
"country_code": "US",
"telephone_number": "302-629-3575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHROEDER",
"first_name": "KAITLYN",
"middle_name": "IRENE",
"name_prefix": "Miss",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-03",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DE",
"license": "U1-0001910",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT010972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.