Organization Active NPI

Little Wonders123 LLC

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1972643575
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4194 Issued in NC
Legal business name
LITTLE WONDERS123 LLC
Practice address
6917 Shannon Willow Rd
Suite 300
Charlotte, NC 28226-1332
Phone
(704) 752-1616
Fax
(704) 759-0799
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Suzanne Bynum, OTR
Title
Occupational Therapist
Phone
(704) 752-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 4194 NC Primary

Addresses

Primary practice location

6917 Shannon Willow Rd
Suite 300
Charlotte, NC 28226-1332

Mailing address

6917 Shannon Willow Rd
Suite 300
Charlotte, NC 28226-1332
Phone (704) 752-1616

National Provider Directory

National Provider Directory

Locations

6917 Shannon Willow Rd
Ste 300
Charlotte, NC 28226
Phone (704) 752-1616

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1972643575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 SHANNON WILLOW RD",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261332",
            "telephone_number": "704-752-1616",
            "fax_number": "704-759-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 SHANNON WILLOW RD",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261332",
            "telephone_number": "704-752-1616",
            "fax_number": "704-759-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE WONDERS123 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "704-752-1616",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "4194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.