National Provider Identifier

Jacob Daniel Little, DPT

Jacob Daniel Little, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 440-1118.

NPI 1780374223Buffalo, NYPhysical Therapist

Profile Overview

NPI
1780374223
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
May 09, 2023
Last Updated
August 16, 2023

Practice Location

  • 1515 Kensington Ave
  • Buffalo, NY 14215-1436

Phone: (716) 440-1118

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1780374223
Entity Type
Individual
Last Name
Little
First Name
Jacob
Middle Name
Daniel
Credential
DPT
Mailing Street Address
1515 Kensington Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-1436
Mailing Country
US
Mailing Phone
(716) 565-0818
Practice Street Address
1515 Kensington Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-1436
Practice Country
US
Practice Phone
(716) 440-1118
Enumeration Date
May 09, 2023
Last Updated
August 16, 2023
Sex
Male
Sole Proprietor
No
Certification Date
August 16, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)