Organization Active NPI

Little Antz LLC

  • Physical Therapist
  • West Hartford, CT
National Provider Identifier
1457825515
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LITTLE ANTZ LLC
Practice address
776 Farmington Ave
West Hartford, CT 06119-1677
Phone
(860) 251-9754
Fax
(860) 969-0821
NPI assigned
Jan 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Dr. Leticia S. Jacquet, PT, DPTNPI 1043542657
Title
Physical Therapist/Owner
Phone
(860) 251-9754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

776 Farmington Ave
West Hartford, CT 06119-1677

Mailing address

1022 Boulevard # 274
West Hartford, CT 06119-1801
Phone (860) 251-9754

Other practice location 1

157 Maplewood Ave
West Hartford, CT 06119-1631
Phone (860) 251-9754

Other identifiers 1

IdentifierTypeStateIssuer
1043542657MedicaidCT

Other names 1

  • Infant Massage LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ljacquet.dpt@littleantz.com Direct

National Provider Directory

National Provider Directory

Locations

1022 Boulevard
West Hartford, CT 06119
Phone (860) 251-9754

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1457825515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 BOULEVARD # 274",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191801",
            "telephone_number": "860-251-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191677",
            "telephone_number": "860-251-9754",
            "fax_number": "860-969-0821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Maplewood Ave",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061191631",
            "country_code": "US",
            "telephone_number": "860-251-9754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LITTLE ANTZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "JACQUET",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "860-251-9754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043542657",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ljacquet.dpt@littleantz.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "West Hartford",
            "address_1": "1022 Boulevard # 274",
            "city": "West Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061191801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Infant Massage LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Infant Massage LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.