Tara Renae Littell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7326 Issued in AZ

Practice address

2000 W Wickenburg Way Ste 200
Wickenburg, AZ 85390-1074

Phone

(928) 668-0108

NPI assigned

May 3, 2007

Last updated

Mar 2, 2020By the provider in NPPES

Sex

Female

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

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Champion Physical Therapy LLCGroup PAC ID 4880783729, 4 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Champion Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Wickenburg, AZ
  • NPI 1487833893
  Medicare reassignment Care Compare group NPD
• Arizona Luna Care Physical Therapy, LLC

  • Physical Therapist
  • Peoria, AZ
  • NPI 1629698147
  Medicare reassignment NPD
• Northwest Orthopedic & Sports Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Sun City West, AZ
  • NPI 1073610440
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1225240435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44309 N US HWY 60",
            "city": "MORRISTOWN",
            "state": "AZ",
            "postal_code": "853429661",
            "telephone_number": "928-231-4503",
            "fax_number": "928-684-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W WICKENBURG WAY STE 200",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901074",
            "telephone_number": "928-668-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTELL",
        "first_name": "TARA",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd M. Kravetz, M.D.
• Carrie Kray, LCSW
• Laboratory Corporation of America
• Christopher Thomas Larson
• Courtney Leboeuf, PMHNP-BC
• Kenneth Wayne Littlefield, PSY.D.
• Debra Jayne Loder, R.D.N.
• Lottis & Associates, P.C.
• Karen J. Lottis, PHD, FNP
• Patrick Dean Lynch, M.D.

• Physical Therapist in Wickenburg, AZ
• Providers in Wickenburg, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.