Provider Demographics
NPI:1013410729
Name:LITTMANN, JAMA LE ANN (PTA)
Entity Type:Individual
Prefix:
First Name:JAMA
Middle Name:LE ANN
Last Name:LITTMANN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 DUNWAY LN
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-4090
Mailing Address - Country:US
Mailing Address - Phone:757-619-5345
Mailing Address - Fax:
Practice Address - Street 1:PORTSMOUTH NAVAL HOSPITAL
Practice Address - Street 2:620 JOHN PAUL JONES CIR
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2111
Practice Address - Country:US
Practice Address - Phone:757-953-9390
Practice Address - Fax:757-953-0856
Is Sole Proprietor?:No
Enumeration Date:2018-03-09
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306603771225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1013410742Medicaid