Brittany Little, DPT
Individual provider Active NPI Physical Therapist · Halifax, MA
NPI 1386077261 · NPPES record last updated Jun 27, 2018
Key facts
- NPI
- 1386077261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 20619 (MA)
- Practice address
- 284 Monponsett St Ste 102
Halifax, MA 02338 - Phone
- (781) 293-2525
- Fax
- (781) 795-9932
- NPI assigned
- Aug 15, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bay State Physical Therapy of Randolph Inc
Practice addresses (Care Compare)
99 Dartmouth St
Malden, MA 02148-5103
Phone (781) 605-1225
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131011000614 | MA | Practitioner - Physical Therapist in Private Practice | 8426282187 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20619 | MA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20619 | MA | Yes |
Addresses
Primary practice location
284 Monponsett St Ste 102
Halifax, MA 02338
Mailing address
1 Credit Union Way FL 3
Randolph, MA 02368-4633
Phone (781) 961-3370
Other practice location 1
711 W Center St
W Bridgewater, MA 02379-1542
Phone (508) 659-4499
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4858588 | Other | MA | AETNA |
| 110097773A | Medicaid | MA |
Other names
- Brittany Bohannon
Other providers in Halifax, MA
- Helping Hand Child Development Center LLC
- Sandra Eve Henrich
- Lori Kovalski
- Peter Roy Krzyzewski
- Francesca Elizabeth Lapsley
- Littlefield Wellness, LLC
- Lauren Littlefield
- Bridget Eileen Newbury Lowder
- Cheryl Lynne Macdonald
- Karen Jo Morse Marshall
All providers in Halifax, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.