Short Pediatric PT, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SHORT PEDIATRIC PT, LLC

Practice address

241 Red Maple St
Bowling Green, KY 42101-7530

Phone

(859) 319-3693

NPI assigned

Jan 1, 2024

Last updated

Jan 4, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hannah Short, DPTNPI 1427693811

Title

Owner

Phone

(859) 319-3693

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hannah Short, DPT

  • Physical Therapist
  • Bowling Green, KY
  • NPI 1427693811
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1053180026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 RED MAPLE ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421017530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 RED MAPLE ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421017530",
            "telephone_number": "859-319-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORT PEDIATRIC PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-319-3693",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Shifflett
• Shift Pediatric Physical Therapy
• Jessica Shiver
• Tanya Shoaib, M.D.
• Chelsey Shofner, RBT
• Hannah Short, DPT
• Angela Kay Shoulders, PHARM.D
• Carly Ann Shoulders
• Sarah Lynn Shouse, APRN
• Cheryl Showalters

• Early Intervention Provider Agency in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Early Intervention Provider Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.