Holly Short, COMS

Primary specialty

Orientation and Mobility Training Rehabilitation CounselorTaxonomy code 225CX0006X

License

22364

Practice address

941 South Ave Apt A26
Secane, PA 19018-3423

Phone

(717) 514-3358

NPI assigned

Aug 20, 2018

Last updated

Jun 18, 2021By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Columbia Lighthouse for the Blind

  • Optometrist
  • Silver Spring, MD
  • NPI 1043458870
  NPD (past)

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1306326277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 YALE AVE",
            "city": "MORTON",
            "state": "PA",
            "postal_code": "190701918",
            "telephone_number": "610-938-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 SOUTH AVE APT A26",
            "city": "SECANE",
            "state": "PA",
            "postal_code": "190183423",
            "telephone_number": "717-514-3358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8757 Georgia Ave Ste 805",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209103737",
            "country_code": "US",
            "telephone_number": "301-589-0894",
            "fax_number": "877-595-9228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "HOLLY",
        "credential": "COMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225CX0006X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
            "state": null,
            "license": "22364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Rufo, PT, DPT
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• Shila Sharma
• Sabina Sharmeen, MD
• Deborah Ann Shepherd, RN
• Sage Cadin Stevens, LSW
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• Neeraj Tripathy, MD
• Elizabeth Tyson, OTR/L

• Rehabilitation Counselor in Secane, PA
• Providers in Secane, PA by specialty
• Rehabilitation Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.