Organization Active NPI

Children's Therapy Specialists, Inc.

  • Speech-Language Pathologist
  • Watertown, MN
National Provider Identifier
1801095955
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7578 Issued in MN
Legal business name
CHILDREN'S THERAPY SPECIALISTS, INC.
Practice address
204 Lewis Ave S
Suite 104
Watertown, MN 55388-4500
Phone
(952) 955-3323
Fax
(952) 255-8075
NPI assigned
Jul 17, 2007
Last updated
Jul 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Mrs. Tonya Kay Schrader, M.S. CCC-SLPNPI 1811091176
Title
President
Phone
(952) 955-3323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7578 MN Primary

Addresses

Primary practice location

204 Lewis Ave S
Suite 104
Watertown, MN 55388-4500

Mailing address

204 Lewis Ave S
Suite 104
Watertown, MN 55388-4500
Phone (952) 955-3323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161027000255 MN Part B Supplier - Clinic/Group Practice 0446538300 Receives reassigned benefits from 1 practitioner
Practice locations: Watertown, MN

National Provider Directory

National Provider Directory

Locations

200 Lewis Ave S
Ste 230
Watertown, MN 55388
Phone (952) 955-3323

204 Lewis Ave S
Ste 104
Watertown, MN 55388
Phone (952) 955-3323

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1801095955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LEWIS AVE S",
            "address_2": "SUITE 104",
            "city": "WATERTOWN",
            "state": "MN",
            "postal_code": "553884500",
            "telephone_number": "952-955-3323",
            "fax_number": "952-255-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LEWIS AVE S",
            "address_2": "SUITE 104",
            "city": "WATERTOWN",
            "state": "MN",
            "postal_code": "553884500",
            "telephone_number": "952-955-3323",
            "fax_number": "952-255-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S THERAPY SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-955-3323",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "7578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.