Individual provider Active NPI

Maria Theresa Little

  • Physical Therapy Assistant
  • Haslet, TX
National Provider Identifier
1417507617
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2150967 Issued in TX
Practice address
2412 Avondale Haslet Rd Ste 200
Haslet, TX 76052-3444
Phone
(817) 717-9111
Fax
(817) 717-8999
NPI assigned
Sep 19, 2019
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2150967 TX Primary

Addresses

Primary practice location

2412 Avondale Haslet Rd Ste 200
Haslet, TX 76052-3444

Mailing address

2008 L Don Dodson Dr Ste 105
Bedford, TX 76021-1844
Phone (817) 288-0121

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@riatatherapy.com Direct

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

State licenses

LicenseStateTypeSpecialty
2150967TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riata Therapy Specialists LLC CurrentSince Feb 17, 2020 Accepting new patients
Decatur Hospital Authority PastSince Sep 25, 2019 Accepting new patients

Locations

2008 L Don Dodson Dr
Ste 105
Bedford, TX 76021
Phone (817) 288-0121

2412 Avondale Haslet Rd
Ste 200
Haslet, TX 76052
Phone (817) 717-9111

Organizations & group practices 2

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": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1417507617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 L DON DODSON DR STE 105",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760211844",
            "telephone_number": "817-288-0121",
            "fax_number": "817-288-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 AVONDALE HASLET RD STE 200",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760523444",
            "telephone_number": "817-717-9111",
            "fax_number": "817-717-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "MARIA THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2150967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@riatatherapy.com",
            "affiliation": "N",
            "endpointDescription": "main encrypted e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "2412 Avondale Haslet Rd Ste 200",
            "city": "Haslet",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760523444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Haslet, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.