Jack Joel Little, is a medicare enrolled "Physical Therapist" physician in Peoria, Arizona. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Ati Holdings Of Arizona Llc and 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 | Physical Therapy |
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Experience | 5 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. |
Medical Education and Training:
- Jack Joel Little graduated from medical school in 2019
NPI Data:
- NPI Number: 1669029609
- Provider Enumeration Date: 08/23/2019
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022348119
- Enrollment ID: I20191003000735
Medical Identifiers
Medical identifiers for Jack Joel Little such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669029609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 30858 (Arizona) | Secondary |
225100000X | Physical Therapist | LPT-30858 (Arizona) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Ati Holdings Of Arizona Llc | 2466732862 | 183 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jack Joel Little allows following entities to bill medicare on his behalf.
Entity Name | Orthopedic & Sport Rehab Specialists At Anthem Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821109356 PECOS PAC ID: 8527961978 Enrollment ID: O20040202000051 |
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Entity Name | Ati Holdings Of Arizona Llc |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Entity Identifiers | NPI Number: 1871570309 PECOS PAC ID: 2466732862 Enrollment ID: O20161130001683 |
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Entity Name | Mountain View Pain Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215179304 PECOS PAC ID: 1052469152 Enrollment ID: O20230503000712 |
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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 |
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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