Kristina Smith, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11105 Issued in OH

Practice address

1331 E 4TH St
Ottawa, OH 45875-1505

Phone

(419) 523-9337

Fax

(419) 523-6323

NPI assigned

Dec 31, 2014

Last updated

Dec 31, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• P.T. Services Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Wellington, OH
  • NPI 1972505576
  NPD (past)

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1609264415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12581 ROAD 11J",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458758531",
            "telephone_number": "419-615-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 E 4TH ST",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751505",
            "telephone_number": "419-523-9337",
            "fax_number": "419-523-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTINA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "11105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maddison Nicole Schroeder, D.C.
• Miriam Grace Schroeder, PHYSICAL THERAPIST
• Nicole Leigh Schroeder, DPT, CSCS
• Kesha Marie Scott, MS
• Jessica Elisabeth Siefker
• Jessica N Stallard
• Sara Hulda Stark, LPN
• Nicole Steffen
• Kathleen E Stinson
• Jennifer S Stoepfel, RPH

• Speech-Language Pathologist in Ottawa, OH
• Providers in Ottawa, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.