Bryan G Littlejohn, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

11174 Issued in NC

Practice address

6015 Farrington Rd Ste 101a
Chapel Hill, NC 27517-8154

Phone

(919) 797-2017

Fax

(919) 748-4674

NPI assigned

Aug 14, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Performax Physical Therapy and Sports Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Raleigh, NC
  • NPI 1073069035
  NPD (past) Authorized official
• Performax Physical Therapy and Sports Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Durham, NC
  • NPI 1376093906
  NPD (past) Authorized official
• Activcare Physical Therapy, LLC

  • Clinic/Center
  • Raleigh, NC
  • NPI 1548409626
  NPD
• Winans Chiropractic, PLLC

  • Chiropractor
  • Durham, NC
  • NPI 1073149969
  NPD
• Aquatic Physical Therapy & Beyond, LLC

  • Physical Therapist
  • Raleigh, NC
  • NPI 1861462558
  NPD (past)
• Premier Physical Therapy & Sports Rehab, Inc

  • Specialist
  • Raleigh, NC
  • NPI 1992980700
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1003062696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 FARRINGTON RD STE 101A",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178154",
            "telephone_number": "919-797-2017",
            "fax_number": "919-748-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 FARRINGTON RD STE 101A",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178154",
            "telephone_number": "919-797-2017",
            "fax_number": "919-748-4674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Kitty Hawk Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275607678",
            "country_code": "US",
            "telephone_number": "919-797-2017",
            "fax_number": "919-748-4674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLEJOHN",
        "first_name": "BRYAN",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "11174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "1003062696",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "1073069035",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.performaxpt.org",
            "affiliation": "N",
            "address_1": "6015 Farrington Rd Ste 101A",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275178154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lita W. Russell, PH.D., PLLC
• Destiny Little
• Karmen Edwards Little, LPN
• Kristen L Little, LCSW
• Lauren M Little, OTR/L
• Page Jones Littlewood
• Jasmine Michelle Liu
• David Benjamin Liverman
• Livewell Home Care Inc
• Jennie Livingstone

• Specialist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.