Childrens Therapy Shop

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CHILDRENS THERAPY SHOP

Practice address

24410 Middlebelt Rd.
New Boston, MI 48164-9487

Phone

(734) 252-9167

Fax

(734) 252-9958

NPI assigned

Aug 21, 2024

Organization subpart

No

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

Authorized official

Name

Kerielle Linne Smith, OTR/L, MS, MANPI 1548711146

Title

Owner/Occupational Therapist

Phone

(734) 252-9958

Specialties & licenses 1

Addresses

Other names 1

• Childrens Therapy Shop Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerielle Smith, O.T.

  • Occupational Therapist
  • New Boston, MI
  • NPI 1548711146

  MI, Occupational Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1659104115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24410 MIDDLEBELT RD",
            "city": "NEW BOSTON",
            "state": "MI",
            "postal_code": "481649487",
            "telephone_number": "734-664-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24410 MIDDLEBELT RD.",
            "city": "NEW BOSTON",
            "state": "MI",
            "postal_code": "481649487",
            "telephone_number": "734-252-9167",
            "fax_number": "734-252-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS THERAPY SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KERIELLE",
        "authorized_official_middle_name": "LINNE",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "734-252-9958",
        "authorized_official_credential": "OTR/L, MS, MA"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Therapy Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roger Bradford
• Scott Allen Carey, D.C.
• Lisa Mary Carter
• Jonathan Chapman
• Charter Township of Huron
• Jeffrey Cochran
• Complete Home Care Solutions
• Christina Erin Crutchfield, MS CCC-SLP
• Samantha Evelyn Demarce
• Allison Drewyour

• All providers in New Boston, MI
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.