Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Joel Little

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1669029609

Jack Joel Little is a Physical Medicine & Rehabilitation Physician in Peoria, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2019
Specialties on file
2

Practice location Address checks out

9000 W Thunderbird Rd # 205
Peoria, AZ 85381-4451
Phone: (602) 491-1948
Fax: (720) 925-5897
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9784 W Yearling Rd Ste 1520, Peoria, AZ 85383-1379 — (623) 412-2117

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-30858 (AZ)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 30858 (AZ)

Record details

NPI number1669029609
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 23, 2019
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address5445 Dtc Pkwy Ste 1130, Greenwood Village, CO 80111-3038

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