Active NPI
Jordan Alexander Little, DO
- Neuromusculoskeletal Medicine & OMM Physician
- Minnetonka, MN
National Provider Identifier
1396435079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 82264
- Practice address
- 5810 Baker Rd Ste 100
Minnetonka, MN 55345-5941 - Phone
- (612) 324-6338
- Fax
- (612) 416-0053
- NPI assigned
- May 8, 2023
- Last updated
- Sep 2, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 82264 | MN | Primary |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 5101028872 | MI |
Addresses
Primary practice location
5810 Baker Rd Ste 100
Minnetonka, MN 55345-5941
Mailing address
17532 454TH Ave
Watertown, SD 57201-7693
Phone (605) 520-9225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rayma Health PLLC | Past | Accepting new patients |
Interoperability endpoints
- jordan.little.1@25394.direct.athenahealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1396435079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17532 454TH AVE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572017693",
"telephone_number": "605-520-9225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5810 BAKER RD STE 100",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553455941",
"telephone_number": "612-324-6338",
"fax_number": "612-416-0053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "JORDAN",
"middle_name": "ALEXANDER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-08",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MN",
"license": "82264",
"primary": true
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MI",
"license": "5101028872",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.