Children'S Therapy Specialists, Inc.
Organization Active NPI Speech-Language Pathologist · Watertown, MN
NPI 1801095955 · NPPES record last updated Jul 17, 2007
Key facts
- NPI
- 1801095955
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7578 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Tonya Kay Schrader, M.S. CCC-SLP
- Title
- President
- Phone
- (952) 955-3323
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161027000255 | MN | Part B Supplier - Clinic/Group Practice | 0446538300 |
Receives reassigned benefits from 1 practitioner Practice locations: Watertown, MN |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 7578 | MN | Yes |
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
Other providers in Watertown, MN
- Jonathan James Bennett
- Megan Jean Berg
- Karen A. Bisson
- Patric Burke
- Catalyst Medical Clinic PA
- Chiropractic Specialists of Watertown PC
- Julie Choate
- Jeffrey James Dagen
- David Thelen
- DJ-MN Inc
All providers in Watertown, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.