Active NPI
OT Lifestyle Solutions PLLC
- Occupational Therapist
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00001975
- Legal business name
- OT LIFESTYLE SOLUTIONS PLLC
- Practice address
- 3305 Main St Ste 304
Vancouver, WA 98663-2251 - Phone
- (360) 723-5145
- Fax
- (360) 282-6863
- NPI assigned
- Feb 23, 2018
- Last updated
- Mar 13, 2020
- 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
- Susan Dale Doyle, PHD OTR/L
- Title
- Owner
- Phone
- (360) 903-3720
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00001975 | WA | Primary |
Addresses
Primary practice location
3305 Main St Ste 304
Vancouver, WA 98663-2251
Mailing address
3305 Main St Ste 304
Vancouver, WA 98663-2251
Phone (360) 723-5145
Other practice location 1
1710 W Main St Ste 201
Battle Ground, WA 98604-4318
Phone (360) 723-5145
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sdoyle@otlifestylesolutions.com | Direct |
National Provider Directory
National Provider DirectoryLocations
1710 W Main St
Ste 201
Battle Ground, WA 98604
Phone (360) 723-5145
3305 Main St
Ste 304
Vancouver, WA 98663
Phone (360) 723-5145
Interoperability endpoints
- sdoyle@otlifestylesolutions.com
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Vancouver, WA
- NPI 1326389503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584057600000",
"number": "1912408014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 MAIN ST STE 304",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986632251",
"telephone_number": "360-723-5145",
"fax_number": "360-282-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 MAIN ST STE 304",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986632251",
"telephone_number": "360-723-5145",
"fax_number": "360-282-6863"
}
],
"practiceLocations": [
{
"address_1": "1710 W Main St Ste 201",
"address_purpose": "LOCATION",
"city": "Battle Ground",
"state": "WA",
"postal_code": "986044318",
"country_code": "US",
"telephone_number": "360-723-5145",
"fax_number": "360-282-6863",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OT LIFESTYLE SOLUTIONS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-23",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A",
"authorized_official_last_name": "DOYLE",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-903-3720",
"authorized_official_credential": "PHD OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00001975",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sdoyle@otlifestylesolutions.com",
"affiliation": "N",
"endpointDescription": "Direct Provider Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "3305 Main St Ste 304",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986632251",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.