Jeffery Lucas Short, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

297756 Issued in CA

Practice address

20996 Redwood Rd
Castro Valley, CA 94546-5918

Phone

(510) 537-0272

NPI assigned

Aug 26, 2019

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

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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1346897139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5391 GAMALIEL RD",
            "city": "TOMPKINSVILLE",
            "state": "KY",
            "postal_code": "421676740",
            "telephone_number": "270-407-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20996 REDWOOD RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465918",
            "telephone_number": "510-537-0272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14418 W Meeker Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755283",
            "country_code": "US",
            "telephone_number": "623-888-3450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "JEFFERY",
        "middle_name": "LUCAS",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007754",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Keisuke Shimane, DDS
• Mary Jean Shimane, DMD
• Chiko Shimizu, PA-C
• Amy Michelle Shing, AG-ACNP
• Tammi Lenelle Shoop, RN
• Rinku Shrivastava, M.D.
• James Shu, MD
• Rehan Siddique
• Manwinder Kaur Sidhu, FNP
• Parminder Kour Sidhu

• Physical Therapist in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.