Thomas Ryan Short, LPTA, LMT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306605845 Issued in VA

Practice address

1936 Opitz Blvd Ste a
Woodbridge, VA 22191-3360

Phone

(540) 841-4443

NPI assigned

Apr 11, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618099200000",
    "number": "1093395394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 WESTWIND DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935168",
            "telephone_number": "703-927-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 OPITZ BLVD STE A",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913360",
            "telephone_number": "540-841-4443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4528 Plank Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224070141",
            "country_code": "US",
            "telephone_number": "540-841-4443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "THOMAS",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "LPTA, LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-11",
        "last_updated": "2021-04-11",
        "certification_date": "2021-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019011669",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "PracticePro",
            "affiliation": "N",
            "endpointDescription": "EHI Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "1936 Opitz Blvd Ste A",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221913360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Laurence S Shindelman
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• Elena Short
• Sabita Shrestha
• Shriharsh Pole, MD PC
• Leslie Marie Shubat, APRN
• Susan H. Shuster, L.C.S.W., C.S.A.C.
• Sierra Counseling Services, LLC

• Physical Therapy Assistant in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; 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.