Organization Active NPI

Infintiy Rehab

  • Assisted Living Facility
  • Redmond, WA
National Provider Identifier
1194057307
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
OT00000142 Issued in WA
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

Updated by the provider on Feb 12, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.