Active NPI
Gary Michael Little, PT, DPT
- Physical Therapist
- Tyler, TX
National Provider Identifier
1518784792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1337431
- Practice address
- 4250 Old Omen Rd
Tyler, TX 75707-2161 - Phone
- (903) 530-7467
- Fax
- (888) 333-8977
- NPI assigned
- Sep 20, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1337431 | TX | Primary |
Addresses
Primary practice location
4250 Old Omen Rd
Tyler, TX 75707-2161
Mailing address
1506 Cooks Xing
Tyler, TX 75703-5162
Phone (903) 530-7467
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1337431 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1518784792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 COOKS XING",
"city": "TYLER",
"state": "TX",
"postal_code": "757035162",
"telephone_number": "903-530-7467",
"fax_number": "888-333-8977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 OLD OMEN RD",
"city": "TYLER",
"state": "TX",
"postal_code": "757072161",
"telephone_number": "903-530-7467",
"fax_number": "888-333-8977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "GARY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-20",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1337431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.