Active NPI
Infintiy Rehab
- Assisted Living Facility
- Redmond, WA
National Provider Identifier
1194057307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- OT00000142
- Legal business name
- INFINTIY REHAB
- Practice address
- 10901 176TH Cir NE
Redmond, WA 98052-7218 - Phone
- (425) 556-8241
- NPI assigned
- Feb 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Christy Lee Jacobs, BACHLEOR ODF SCIENCE
- Title
- Occupational Therapist
- Phone
- (425) 821-4165
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | OT00000142 | WA | Primary |
Addresses
Primary practice location
10901 176TH Cir NE
Redmond, WA 98052-7218
Mailing address
14253 93Rd CT NE
Bothell, WA 98011-5150
Phone (425) 821-4165
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265932800000",
"number": "1194057307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14253 93RD CT NE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980115150",
"telephone_number": "425-821-4165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10901 176TH CIR NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980527218",
"telephone_number": "425-556-8241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFINTIY REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-12",
"last_updated": "2010-02-12",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "CHRISTY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "425-821-4165",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BACHLEOR ODF SCIENCE"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "WA",
"license": "OT00000142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.