Individual provider Active NPI

Eileen Deirdre Short, PT

  • Physical Therapist
  • St Thomas, VI
National Provider Identifier
1427312263
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26 Issued in 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
Last updated
May 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26 VI Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121218000154 VI Practitioner - Physical Therapist in Private Practice 4385694884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Fitness and Wellness Center LLC Physical Therapist CurrentSince Mar 20, 2022 Accepting new patients
Be Physical Therapy LLC Physical Therapist CurrentSince Oct 28, 2012 Accepting new patients
Healing Tree Physical Therapy Center LLC CurrentSince Feb 16, 2017 Accepting new patients
Horizon Physical Therapy Physical Therapist Past Accepting new patients

Locations

4002 Raphune Hill Rd
Ste 601
St Thomas, VI 00802
Phone (340) 693-5683

6115 Estate Smith Bay
Unit 5
St Thomas, VI 00802
Phone (340) 513-9166

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1427312263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11733",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008014733",
            "telephone_number": "340-626-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 ESTATE SMITH BAY",
            "address_2": "BOX 5",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008021324",
            "telephone_number": "340-714-2348",
            "fax_number": "340-715-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "EILEEN",
        "middle_name": "DEIRDRE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VI",
            "license": "26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.