MEDICARE: CHILDRENS THERAPY SHOP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1659104115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDRENS THERAPY SHOP

Provider Business Mailing Address
First Line	:	24410 MIDDLEBELT RD
Second Line	:
City	:	NEW BOSTON
State	:	MI
Zip	:	48164-9487
Country	:	US
Telephone Number	:	734-664-8180
Fax Number	:

Provider Business Practice Location Address
First Line	:	24410 MIDDLEBELT RD.
Second Line	:
City	:	NEW BOSTON
State	:	MI
Zip	:	48164-9487
Country	:	US
Telephone Number	:	734-252-9167
Fax Number	:	734-252-9958

Authorized Official
Title or Position	:	OWNER/OCCUPATIONAL THERAPIST
Name	:	KERIELLE LINNE SMITH
Credential	:	OTR/L, MS, MA
Telephone Number	:	734-252-9958

Provider Enumeration Date	:	08/21/2024
Last Update Date	:	01/06/2026

Similar Medicare Providers

1801823620 — DR. JASON P BLOCK MD
Practice Location Address:

75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115

Practice Phone: 617-732-6049
Practice Fax: 617-264-5202

1548711146 — KERIELLE SMITH O.T.
Practice Location Address:

24410 MIDDLEBELT RD
NEW BOSTON, MI
48164-9487

Practice Phone: 734-664-8180
Practice Fax: 888-304-2739

1780725440 — MS. COURTNEY ROAN RICHARDSON-YOUNG MS. CCC-SLP
Practice Location Address:

4212 CHARLESTOWN RD , SUITE 3
NEW ALBANY, IN
47150-9487

Practice Phone: 812-949-3272
Practice Fax: 812-949-3271

1043493091 — MS. ROBIN BRYANT MS. OTR/L
Practice Location Address:

4212 CHARLESTOWN RD STE 3
NEW ALBANY, IN
47150-9487

Practice Phone: 812-949-3272
Practice Fax: 812-949-3271

1760647440 — LEAH REED OTR/L
Practice Location Address:

4212 CHARLESTOWN RD STE 3
NEW ALBANY, IN
47150-9487

Practice Phone: 812-949-3272
Practice Fax:

1477706034 — MRS. LYNN H KRAMMES MS, CCC-SLP
Practice Location Address:

4212 CHARLESTOWN RD STE 3
NEW ALBANY, IN
47150-9487

Practice Phone: 812-949-3272
Practice Fax: 812-949-3271

Directions to “CHILDRENS THERAPY SHOP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.