NPIMap

Organization Active NPI

Shorter Physical Therapy PC

Doing business as Excel Physical Therapy

  • Physical Therapist
  • Dunkirk, MD
National Provider Identifier
1073732632
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20258 Issued in MD
Legal business name
SHORTER PHYSICAL THERAPY PC
Doing business as
Excel Physical Therapy
Practice address
3140 W Ward Rd Ste 203
Dunkirk, MD 20754-3047
Phone
(410) 286-7205
Fax
(410) 286-7206
NPI assigned
Apr 24, 2007
Last updated
Jun 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Ms. Lisa Ann Shorter, M.S., PTNPI 1700875432
Title
Owner
Phone
(301) 860-0237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20258 MD Primary

Addresses

Primary practice location

3140 W Ward Rd Ste 203
Dunkirk, MD 20754-3047

Mailing address

PO Box 160
Friendship, MD 20758-0160
Phone (310) 860-0237

Other identifiers 3

IdentifierTypeStateIssuer
S109OtherMDBLUE CROSS GROUP # FOR DC
7094369OtherMDAETNA GROUP#
KCB9EXOtherMDBLUE CROSS GROUP# MD SIDE

Other names 1

  • Excel Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130904000061 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193611846 Receives reassigned benefits from 6 practitioners
Practice locations: Dunkirk, MD

National Provider Directory

National Provider Directory

Locations

17000 Science Dr
Ste 104
Bowie, MD 20715
Phone (301) 464-5900

6000 Laurel Bowie Rd
Ste 203
Bowie, MD 20715
Phone (301) 860-0237

10735 Town Center Blvd
Ste 4
Dunkirk, MD 20754
Phone (410) 286-7205

3140 W Ward Rd
Ste 203
Dunkirk, MD 20754
Phone (410) 286-7205

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1073732632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "FRIENDSHIP",
            "state": "MD",
            "postal_code": "207580160",
            "telephone_number": "310-860-0237",
            "fax_number": "301-860-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 W WARD RD STE 203",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543047",
            "telephone_number": "410-286-7205",
            "fax_number": "410-286-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORTER PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "SHORTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-860-0237",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP # FOR DC",
            "identifier": "S109",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP#",
            "identifier": "7094369",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP# MD SIDE",
            "identifier": "KCB9EX",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Excel Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunkirk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.