Organization Active NPI

Little by Little Lifestyle

  • Rehabilitation Clinic/Center
  • Shoreline, WA
National Provider Identifier
1619646684
Registry record updated Sep 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
LITTLE BY LITTLE LIFESTYLE
Practice address
16300 Aurora Ave N Ste C
Shoreline, WA 98133-2602
Phone
(206) 713-3127
NPI assigned
Sep 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer WongNPI 1376875831
Title
Owner
Phone
(206) 713-3127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

16300 Aurora Ave N Ste C
Shoreline, WA 98133-2602

Mailing address

19133 12TH Ave NW
Shoreline, WA 98177-2645

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL otbunny.com

National Provider Directory

National Provider Directory

Locations

16300 Aurora Ave N
Ste C
Shoreline, WA 98133
Phone (206) 713-3127

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631404800000",
    "number": "1619646684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19133 12TH AVE NW",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981772645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 AURORA AVE N STE C",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981332602",
            "telephone_number": "206-713-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE BY LITTLE LIFESTYLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-12",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-713-3127"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "otbunny.com",
            "affiliation": "N",
            "address_1": "16300 Aurora Ave N Ste C",
            "city": "Shoreline",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981332602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; 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.