Healthcare Provider Details

I. General information

NPI: 1861316655
Provider Name (Legal Business Name): JARETT LITTLE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 W LEE HWY STE 193
WARRENTON VA
20186-2047
US

IV. Provider business mailing address

6113 AURORA AVE
WARRENTON VA
20187-9002
US

V. Phone/Fax

Practice location:
  • Phone: 571-248-0232
  • Fax: 571-619-6385
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305217917
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: