Jack Joel Little, | |
9784 W Yearling Rd Ste 1520, Peoria, AZ 85383-1379 | |
(623) 412-2117 | |
Not Available |
Full Name | Jack Joel Little |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 9784 W Yearling Rd Ste 1520, Peoria, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669029609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 30858 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ati Holdings Of Arizona Llc | 2466732862 | 170 |
Entity Name | Orthopedic & Sport Rehab Specialists At Anthem Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821109356 PECOS PAC ID: 8527961978 Enrollment ID: O20040202000051 |
Entity Name | Ati Holdings Of Arizona Llc |
---|---|
Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Entity Identifiers | NPI Number: 1871570309 PECOS PAC ID: 2466732862 Enrollment ID: O20161130001683 |
Mailing Address | Practice Location Address |
---|---|
Jack Joel Little, 9784 W Yearling Rd Ste 1520, Peoria, AZ 85383-1379 Ph: (623) 412-2117 | Jack Joel Little, 9784 W Yearling Rd Ste 1520, Peoria, AZ 85383-1379 Ph: (623) 412-2117 |
Dr. Augustine Changdae Lee, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 12740 N Plaza Del Rio Blvd, Peoria, AZ 85381 Phone: 480-581-3600 Fax: 480-581-3600 | |
Sarah Mi May, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 8765 W Kelton Ln Ste 116, Peoria, AZ 85382 Phone: 623-977-4911 | |
Dr. Natalya B Faynboym, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9165 W Thunderbird Rd, Ste 100, Peoria, AZ 85381 Phone: 623-523-6560 Fax: 623-523-6581 | |
Dr. Paul Anthony Pannozzo, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 8877 W Union Hills Dr Ste 200, Peoria, AZ 85382 Phone: 623-776-8686 Fax: 623-776-8687 | |
Mrs. Alicia Joy Beanblossom, L.M.T. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6853 W Ironwood Dr, Peoria, AZ 85345 Phone: 623-826-9116 | |
Melissa Abellanida, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9127 W Thunderbird Rd Ste 101, Peoria, AZ 85381 Phone: 623-322-0654 Fax: 623-322-0664 |