Carvin Henry Short, P.T.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

539 Issued in AZ

Practice address

1021 W 23Rd St
Yuma, AZ 85364-8347

Phone

(928) 782-5260

Fax

(928) 782-0383

NPI assigned

Oct 2, 2007

Last updated

Nov 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Brody School of Medicine at East Carolina University, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yuma Physical Therapy LTDGroup PAC ID 5991939795, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yuma Physical Therapy LTD

  • Physical Therapy Clinic/Center
  • Yuma, AZ
  • NPI 1679600480
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1073700175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5553",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853665553",
            "telephone_number": "928-782-5260",
            "fax_number": "928-782-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W 23RD ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648347",
            "telephone_number": "928-782-5260",
            "fax_number": "928-782-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "CARVIN",
        "middle_name": "HENRY",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David G Shelver, CRNA
• Travis B Sherman, DO
• Daelynn Shiflett, COTA
• Kristine Shjerve, MA/LPC
• William G Shoemaker, D.M.D
• Kirk Jameson Short, P.T., D.P.T.
• Sarina Shrestha, MD
• Shri Sai LLC (Careplus pharmacy)
• Shailee Purveshbhai Shroff
• Monika Shumbopoissant, OTR

• Physical Therapy Clinic/Center in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.