Kaitlin Ann Theder-Schmidt, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101005519 Issued in MI

Practice address

3200 W Liberty Rd Ste F
Ann Arbor, MI 48103-9746

Phone

(734) 780-7852

Fax

(734) 527-6024

NPI assigned

Jun 13, 2017

Last updated

Jan 7, 2019By 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

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Aa Therapy Works, LLC

  dba A2 Therapy Works

  • Speech-Language Pathologist
  • Ann Arbor, MI
  • NPI 1144608456
  Medicare reassignment

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1881124840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 W LIBERTY ST APT 7",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034553",
            "telephone_number": "414-861-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W LIBERTY RD STE F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039746",
            "telephone_number": "734-780-7852",
            "fax_number": "734-527-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEDER-SCHMIDT",
        "first_name": "KAITLIN",
        "middle_name": "ANN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Open Road Collective LLC
• The Recovery Lab PLLC
• The Regents of the University of Michigan (UM Nurse Managed Centers/North Campus)
• The Safe Calm Place PLLC
• The Women's Center of Southeastern Michigan
• Arik Casteel Theeke, RN
• Mary E Theisen-Goodvich, PHD
• Jeremy Theiss, M.D.
• Lindsey Jill Theiss, LMSW
• Lena Theodorou-Ehrlich, PSY.D.

• Speech-Language Pathologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.