Active NPI
Nicholas Hunter Short
- Physical Therapy Assistant
- Frankfort, KY
National Provider Identifier
1013634492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A042641
- Practice address
- 1040 US Highway 127 S
Frankfort, KY 40601-4326 - Phone
- (502) 875-5600
- NPI assigned
- Oct 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A042641 | KY | Primary |
Addresses
Primary practice location
1040 US Highway 127 S
Frankfort, KY 40601-4326
Mailing address
PO Box 1085
Viper, KY 41774-0085
Phone (606) 438-3446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A042641 | KY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1013634492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1085",
"city": "VIPER",
"state": "KY",
"postal_code": "417740085",
"telephone_number": "606-438-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 US HIGHWAY 127 S",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406014326",
"telephone_number": "502-875-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "NICHOLAS",
"middle_name": "HUNTER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-26",
"last_updated": "2022-10-28",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "A042641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frankfort, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.