Active NPI
Kaitlyn Schmidt, OTR
- Occupational Therapist
- Grafton, WI
National Provider Identifier
1578174819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6658-26
- Practice address
- 215 Washington St
Grafton, WI 53024-1700 - Phone
- (262) 375-3700
- Fax
- (262) 376-6032
- NPI assigned
- Aug 11, 2020
- Last updated
- Dec 28, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6658-26 | WI | Primary |
Addresses
Primary practice location
215 Washington St
Grafton, WI 53024-1700
Mailing address
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (262) 375-3700
Other practice location 1
975 Port Washington Rd
Grafton, WI 53024-9201
Phone (262) 329-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100102715 | Medicaid | WI | |
| 6658-26 | Other | WI | WI STATE LICENSE |
Other names 1
- Kaitlyn Sass
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EPIC | Direct | |
| Direct Messaging Address | ksass201702@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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 |
|---|---|---|---|
| 6658-26 | WI | MD | Occupational Therapist |
| 6658 | WI | MD | Nurse Practitioner |
Interoperability endpoints
- ksass201702@direct.myadvocateaurora.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1578174819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 W FOREST HOME AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532152843",
"telephone_number": "262-375-3700",
"fax_number": "262-376-6032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 WASHINGTON ST",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530241700",
"telephone_number": "262-375-3700",
"fax_number": "262-376-6032"
}
],
"practiceLocations": [
{
"address_1": "975 Port Washington Rd",
"address_purpose": "LOCATION",
"city": "Grafton",
"state": "WI",
"postal_code": "530249201",
"country_code": "US",
"telephone_number": "262-329-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHMIDT",
"first_name": "KAITLYN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "6658-26",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100102715",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI STATE LICENSE",
"identifier": "6658-26",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "EPIC",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9200 W Wisconsin Ave",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532263522",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ksass201702@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "975 Port Washington Rd",
"city": "Grafton",
"state": "WI",
"country_code": "US",
"postal_code": "530249201",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "975 Port Washington Rd",
"city": "Grafton",
"state": "WI",
"country_code": "US",
"postal_code": "530249201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KAITLYN",
"last_name": "SASS",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grafton, WI
- Carrie Jo Scheel, EDD, OTR
- Christina Annwinter Scheer, MHS. OTR
- Cassandra Lyn Schefsky, MSW, LCSW
- Robert J Schlosser, MD
- Aaron James Schmidt, M.D.
- Schneider Counseling and Consultation LLC
- Holly A Schneider, FNP-BC, APNP, RN
- Joshua D Schneider, P.T.
- Kelly Elizabeth Schneider, DPT
- Sarah Francis Schneider, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.