OT Lifestyle Solutions PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00001975 Issued in WA

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2122914",
            "state": "WA"
        }
    ],
    "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": []
}

• Lenna Jeanne Ostenson, DDS
• Stacey Lynne Snowden Ostrin, MD
• Bryan Scott Ostrom, D.C.
• Felicia Ostrowski
• Josh Allen Ostrue, D.O.
• Kandice Otoole, RN
• Fred D Ott, MD
• Madeleine Rose Otten
• Mara Otterstad, MHP
• Felicity Ottis, MOTR/L

• Occupational Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Occupational Therapist in Washington

• 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.

Verify at the official NPI Registry.