Active NPI
KT Therapy, PLLC
- Speech-Language Pathologist
- Crystal Lake, IL
National Provider Identifier
1437816840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- KT THERAPY, PLLC
- Practice address
- 800 S McHenry Ave Ste a
Crystal Lake, IL 60014-7487 - Phone
- (815) 201-1558
- Fax
- (815) 605-0541
- NPI assigned
- Nov 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaitlin Thompson, MS, CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (815) 685-1208
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
800 S McHenry Ave Ste a
Crystal Lake, IL 60014-7487
Mailing address
800 S McHenry Ave Ste a
Crystal Lake, IL 60014-7487
Phone (815) 201-1558
National Provider Directory
National Provider DirectoryLocations
7105 Virginia Rd
Ste 17
Crystal Lake, IL 60014
800 S McHenry Ave
Ste A
Crystal Lake, IL 60014
Phone (815) 201-1558
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Crystal Lake, IL
- NPI 1467951905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719792000000",
"number": "1437816840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S MCHENRY AVE STE A",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600147487",
"telephone_number": "815-201-1558",
"fax_number": "815-605-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S MCHENRY AVE STE A",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600147487",
"telephone_number": "815-201-1558",
"fax_number": "815-605-0541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KT THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-19",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "KAITLIN",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "815-685-1208",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.