Individual provider Active NPI

Kaitlyn Irene Schroeder, OTR

  • Occupational Therapist
  • Mentor, OH
National Provider Identifier
1154817955
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT010972 Issued in OH
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

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
U1-0001910DEMDOccupational Therapist
OT010972OHMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.