Active NPI
Emily Grace Tittle, PTA
- Physical Therapy Assistant
- Littleton, CO
National Provider Identifier
1679289847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA.0015314
- Practice address
- 8500 W Crestline Ave Unit G5
Littleton, CO 80123-2222 - Phone
- (303) 971-0500
- NPI assigned
- Jan 30, 2023
- Sex
- Female
- 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 Therapy Assistant | 225200000X | PTA.0015314 | CO | Primary |
Addresses
Primary practice location
8500 W Crestline Ave Unit G5
Littleton, CO 80123-2222
Mailing address
PO Box 529
Kittredge, CO 80457-0529
Phone (979) 739-0416
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 |
|---|---|---|---|
| PTA.0015314 | CO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1679289847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 529",
"city": "KITTREDGE",
"state": "CO",
"postal_code": "804570529",
"telephone_number": "979-739-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 W CRESTLINE AVE UNIT G5",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801232222",
"telephone_number": "303-971-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TITTLE",
"first_name": "EMILY",
"middle_name": "GRACE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "PTA.0015314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
- Tim W. James OD PC (ken-caryl vision center)
- Lena M Tim, PA-C
- Timberline Podiatry PLLC
- Timothy P Masterson DDS, PC
- Titan Home Health
- Tiffani Titus, MPT
- Timothy Titus
- Stephanus Joseph Tjan, M.D.
- TL Dental Group, PLLC (Magna Family Dental Studio)
- TLC the Littleton Clinic LLC (TLC The Littleton Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.