Active NPI
Brad Little
- Physical Therapy Assistant
- Springfield, TN
National Provider Identifier
1972613610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 2009 Memorial Blvd
Springfield, TN 37172-3913 - Phone
- (615) 384-3836
- NPI assigned
- Aug 30, 2006
- 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 Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
2009 Memorial Blvd
Springfield, TN 37172-3913
Mailing address
2009 Saint Michaels LN
Cedar Hill, TN 37032-4971
Phone (615) 696-0012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3540 | Other | TN | LICENSE # |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972613610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2009 SAINT MICHAELS LN",
"city": "CEDAR HILL",
"state": "TN",
"postal_code": "370324971",
"telephone_number": "615-696-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 MEMORIAL BLVD",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371723913",
"telephone_number": "615-384-3836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "BRAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "3540",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.