Active NPI
Little Wonders123 LLC
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1972643575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4194
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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 DirectoryLocations
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.
-
- Occupational Therapist
- Charlotte, NC
- NPI 1316267776
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
- Little Achievers ABA NC LLC
- Little Blooms Pediatric Speech and Feeding Therapy, PLLC
- Little Leaf Therapy PLLC
- Little Sprouts Budding Futures Pediatric Therapy L.L.C.
- Little Talkers Bilingual Speech Therapy
- Alexa Danielle Little, LMFTA
- Brittany Nicole Little, BSN, RN
- Brittney Little, COTA/L
- Caleb Little
- Christy Little
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.