Eileen Deirdre Short, PT
Individual provider Active NPI Physical Therapist · St Thomas, VI
NPI 1427312263 · NPPES record last updated May 8, 2020
Key facts
- NPI
- 1427312263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 26 (VI)
- Practice address
- 6115 Estate Smith Bay
Box 5
St Thomas, VI 00802-1324 - Phone
- (340) 714-2348
- Fax
- (340) 715-2348
- NPI assigned
- Jun 26, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4002 Raphune Hill Rd
Suite 601
St Thomas, VI 00802-2903
Phone (340) 693-5683
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121218000154 | VI | Practitioner - Physical Therapist in Private Practice | 4385694884 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Fitness and Wellness Center LLC | Physical Therapist | Current |
Accepting new patients |
| Be Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Healing Tree Physical Therapy Center LLC | Current |
Accepting new patients | |
| Horizon Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
6115 Estate Smith Bay
Unit 5
St Thomas, VI 00802
Phone (340) 513-9166
4002 Raphune Hill Rd
Ste 601
St Thomas, VI 00802
Phone (340) 693-5683
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26 | VI | Yes |
Addresses
Primary practice location
6115 Estate Smith Bay
Box 5
St Thomas, VI 00802-1324
Mailing address
PO Box 11733
St Thomas, VI 00801-4733
Phone (340) 626-3478
Other providers in St Thomas, VI
- Adam Marc Shapiro
- Ayla Shaw
- Kristina Cindy Shiao
- Shoe Dox, Inc
- Shore Prosthetics and Orthotics LLC
- Karyna Shuliak
- Silvina Salvo MD PC
- Dionne Simmonds
- Daniel John Sims
- Aliya Smith
All providers in St Thomas, VI · Physical Therapist in U.S. Virgin Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.