Jack Joel Little, is a medicare enrolled "Physical Therapist" physician in Peoria, Arizona. His current practice location is
9000 W Thunderbird Rd # 205, Peoria, Arizona. You can reach out to his office (for appointments etc.) via phone at
(602) 491-1948.
Jack Joel Little is licensed to practice in Arizona (license number LPT-30858) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669029609.
Physician's Profile
| Full Name | Jack Joel Little |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 9000 W Thunderbird Rd # 205, Peoria, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jack Joel Little attended and graduated from in
NPI Data:
- NPI Number: 1669029609
- Provider Enumeration Date: 08/23/2019
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jack Joel Little such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669029609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 30858 (Arizona) | Secondary |
| 225100000X | Physical Therapist | LPT-30858 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack Joel Little is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jack Joel Little,
5445 Dtc Pkwy Ste 1130,
Greenwood Village, CO 80111-3038
Ph: (720) 749-5599 | Jack Joel Little,
9000 W Thunderbird Rd # 205,
Peoria, AZ 85381-4451
Ph: (602) 491-1948 |
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