Individual provider Active NPI

Kaitlin Louie, SPEECH THERAPIST

  • Speech-Language Pathologist
  • Orange, CT
National Provider Identifier
1255930350
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6215 Issued in CT
Practice address
308 Racebrook Road
Orange, CT 06477-9976
Phone
(203) 920-1885
Fax
(203) 920-1881
NPI assigned
Oct 20, 2020
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6215 CT Primary

Addresses

Primary practice location

308 Racebrook Road
Orange, CT 06477-9976

Mailing address

382 S Main St
Cheshire, CT 06410-1379
Phone (203) 250-9663

Other practice location 1

382 S Main St
Cheshire, CT 06410-1379
Phone (203) 250-9663

Other practice location 2

1064 E Main St Fl 3
Meriden, CT 06450-4898
Phone (203) 440-3750

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6215CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cheshire Fitness Zone, LLC Speech-Language Pathologist CurrentSince Oct 25, 2020 Accepting new patients

Locations

382 S Main St
Cheshire, CT 06410

1064 E Main St
Fl 3
Meriden, CT 06450
Phone (203) 237-1818

308 Racebrook Rd
Orange, CT 06477
Phone (203) 920-1881

157 Litchfield St
Torrington, CT 06790
Phone (860) 489-1328

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1255930350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101379",
            "telephone_number": "203-250-9663",
            "fax_number": "203-699-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 RACEBROOK ROAD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064779976",
            "telephone_number": "203-920-1885",
            "fax_number": "203-920-1881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "382 S Main St",
            "address_purpose": "LOCATION",
            "city": "Cheshire",
            "state": "CT",
            "postal_code": "064101379",
            "country_code": "US",
            "telephone_number": "203-250-9663",
            "fax_number": "203-699-9641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1064 E Main St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Meriden",
            "state": "CT",
            "postal_code": "064504898",
            "country_code": "US",
            "telephone_number": "203-440-3750",
            "fax_number": "203-699-9641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "KAITLIN",
        "credential": "SPEECH THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "6215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.