Active NPI
Erin E Thayer
- Speech-Language Pathologist
- Plymouth, MI
National Provider Identifier
1639354574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101002897
- Practice address
- 10155 Tennyson Dr
Plymouth, MI 48170-3647 - Phone
- (248) 252-6064
- NPI assigned
- Jan 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Speech-Language Pathologist | 235Z00000X | 7101002897 | MI | Primary |
Addresses
Primary practice location
10155 Tennyson Dr
Plymouth, MI 48170-3647
Mailing address
10155 Tennyson Dr
Plymouth, MI 48170-3647
Phone (248) 252-6064
Other names 1
- Erin E Trygar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10155 Tennyson Dr
Plymouth, MI 48170-3647
Phone (248) 252-6064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101002897 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Services, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Mary Free Bed Rehabilitation Hospital | Current | Accepting new patients | |
| Mary Free Bed Rehabilitation Hospital | Current | Accepting new patients |
Locations
235 Wealthy St SE
Grand Rapids, MI 49503
Phone (616) 242-0422
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Plymouth, MI
- NPI 1265919633
-
- Rehabilitation Hospital
- Grand Rapids, MI
- NPI 1730133463
-
- Physical Medicine & Rehabilitation Physician
- Grand Rapids, MI
- NPI 1053641589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1639354574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10155 TENNYSON DR",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481703647",
"telephone_number": "248-252-6064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10155 TENNYSON DR",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481703647",
"telephone_number": "248-252-6064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAYER",
"first_name": "ERIN",
"middle_name": "E",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-09",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101002897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "TRYGAR",
"middle_name": "E",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.