Healthcare Provider Details

I. General information

NPI: 1235873183
Provider Name (Legal Business Name): SARAH LYNN LITTLE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH LYNN SMITH

II. Dates (important events)

Enumeration Date: 04/26/2022
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 E PROSPECT RD
FORT COLLINS CO
80525-9718
US

IV. Provider business mailing address

2500 E PROSPECT RD
FORT COLLINS CO
80525-9718
US

V. Phone/Fax

Practice location:
  • Phone: 970-619-5474
  • Fax: 970-493-0521
Mailing address:
  • Phone: 970-619-5474
  • Fax: 970-493-0521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0021174
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: