Active NPI
Avery Little-Miriki
- Physical Medicine & Rehabilitation Physician
- Houston, TX
National Provider Identifier
1730811027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2169293
- Practice address
- 7633 Bellfort St
Houston, TX 77061-1703 - Phone
- (713) 644-2102
- NPI assigned
- Jun 27, 2022
- 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 Medicine & Rehabilitation Physician | 208100000X | 2169293 | TX | Primary |
Addresses
Primary practice location
7633 Bellfort St
Houston, TX 77061-1703
Mailing address
1511 S. Peoria Street
Chicago, IL 60608
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 |
|---|---|---|---|
| 2169293 | TX | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1730811027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 S. PEORIA STREET",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7633 BELLFORT ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770611703",
"telephone_number": "713-644-2102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE-MIRIKI",
"first_name": "AVERY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-27",
"last_updated": "2022-06-27",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "2169293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Little York Dialysis Center LLC
- Little York Medical Diagnostic Center PLLC
- Little York Medical Diagnostic Center, PLLC
- Little York Pharmacy
- Little York Rsvjr PLLC (Adventure Smiles)
- Kim Jing-Ming Little-Wienert, MD
- Courtney Jean Little, BCBA
- Destiny Little, LPC
- Jenelle Eden Little, MD
- Kennedy Santos Little, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.