Robert Lee Little Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160043834 Issued in WA

Practice address

625 Okanogan Ave
Wenatchee, WA 98801-6409

Phone

(509) 663-1171

NPI assigned

Apr 24, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Performance Edge Therapy

  • Physical Therapist
  • Wenatchee, WA
  • NPI 1841057114
  NPD

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1104213370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 MEEKS RD",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988019714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 OKANOGAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016409",
            "telephone_number": "509-663-1171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Thurston St. unit B",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "98801",
            "country_code": "US",
            "telephone_number": "509-630-3009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160043834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Danielle Linn, MMS, PA-C
• Rudy Wayne Linterman, D.O.
• Shelley Alicia Lisk, PA-C
• Little Light Speech/Language Services, PLLC
• Lena M Little, PTA, LMT
• James F. Locatelli, MD
• Randall Beckett Paden Loch, M.D.
• Vivian Lockett, ARNP
• Kelly Marie Lockman, RN, BSN
• Ronald Lewis Lockman Jr., BSN, RN

• Physical Therapy Assistant in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.