Jason S Littledike, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

48738752401 Issued in UT

Practice address

77 S 400 W
Spanish Fork, UT 84660-2053

Phone

(801) 798-1626

Fax

(801) 798-1236

NPI assigned

Jul 29, 2005

Last updated

Apr 18, 2008By the provider in NPPES

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 6

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.72 of 100Reported as group

Quality

86.53

Improvement activities

40

Cost

67.04

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jasonlittledike@cuccu.allscriptsdirect.net

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.

• Revere Health PC

  dba Revere Health

  • Multi-Specialty Clinic/Center
  • Provo, UT
  • NPI 1093764805
  Medicare reassignment Care Compare group NPD
• Back at Work of Utah LLC

  • Physical Therapist
  • Clearfield, UT
  • NPI 1902423049
  Medicare reassignment NPD
• Revere Health PC

  dba Revere Health

  • Multi-Specialty Clinic/Center
  • Spanish Fork, UT
  • NPI 1851142285
  NPD

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1386644524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S 400 W",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602053",
            "telephone_number": "801-798-1626",
            "fax_number": "801-798-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S 400 W",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602053",
            "telephone_number": "801-798-1626",
            "fax_number": "801-798-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLEDIKE",
        "first_name": "JASON",
        "middle_name": "S",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "48738752401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID#",
            "identifier": "64-00582",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP PROVIDER ID",
            "identifier": "64411",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WRHN PROVIDER ID",
            "identifier": "48738752402001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D3911/870578539003",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID#",
            "identifier": "48738752400001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS PROVIDER ID",
            "identifier": "QM0000076331",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vyctoria Maddison Lewis, FNP
• Life Balance
• Life Balance Recovery
• Lil Buzz LLC (Beehive Homes of Spanish Fork1)
• Lite Supply
• Lauren Llamozas
• Gage Loftin
• Lynn Loftin, LPC
• Witney Loftin
• Desmond Cornell Lomax, CMHC

• Physical Therapist in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.