Amanda Lee Short, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2013011398 Issued in MO

Practice address

1014 S Mount Carmel PL
Pittsburg, KS 66762-6604

Phone

(620) 235-1500

Fax

(620) 235-1508

NPI assigned

Mar 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Amanda Lee Dodson Former name

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": "1394323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1366868853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 S MOUNT CARMEL PL",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626604",
            "telephone_number": "620-235-1500",
            "fax_number": "620-235-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 S MOUNT CARMEL PL",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626604",
            "telephone_number": "620-235-1500",
            "fax_number": "620-235-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-09",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2013011398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DODSON",
            "middle_name": "LEE",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Shepard
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• Robert Sheverbush, LCMFT
• Marina Shields
• Victoria A. Shirley, DO
• Cara Michelle Shouse, APRN
• Linsey Michelle Shouse, NURSE PRACTITIONER
• Jill S. Shriver, RD
• Amelia Meg Shuler, APRN
• Regan Slater, PHD

• Physical Therapy Assistant in Pittsburg, KS
• Providers in Pittsburg, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.