Barbara Short, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT23556 Issued in FL

Practice address

5737 Barnhill Dr Ste 204
Credentialing Department
Jacksonville, FL 32207-7189

Phone

(904) 733-9948

Fax

(904) 733-9984

NPI assigned

Aug 24, 2007

Last updated

Feb 4, 2015By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• VK Medical Group LLC

  • Specialist
  • Orange Park, FL
  • NPI 1629473822
  Medicare reassignment NPD
• VK Medical Group LLC

  dba Back & Neck Institute

  • Durable Medical Equipment & Medical Supplies
  • Orange Park, FL
  • NPI 1023529096
  NPD

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1427241207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40767",
            "address_2": "CREDENTIALING DEPARTMENT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322030767",
            "telephone_number": "904-376-3707",
            "fax_number": "904-391-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5737 BARNHILL DR STE 204",
            "address_2": "CREDENTIALING DEPARTMENT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322077189",
            "telephone_number": "904-733-9948",
            "fax_number": "904-733-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "BARBARA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00680433",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shore Labs LLC
• James David Shore, D.C.
• Carol Getker Shores, MD
• Ryan Thomas Shores, CRNA
• Elisabeth Ochs Shorstein, MSW, LCSW
• Melissa Short
• Judith Christine Shortridge
• Christina Adkins Shotwell, PH.D.
• Stephanie Shoults
• Bethany Shovlin, NP, RN, RD

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.