NPIMap

Organization Active NPI

Short Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Humboldt, IA
National Provider Identifier
1588952196
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1455 Issued in IA
Legal business name
SHORT PHYSICAL THERAPY, PLLC
Practice address
1212 5TH Ave N
Humboldt, IA 50548-1105
Phone
(515) 332-7900
Fax
(866) 369-7397
NPI assigned
Jul 16, 2011
Last updated
Jan 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Daryl Short, DPTNPI 1821203183
Title
Owner
Phone
(515) 332-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1455 IA Primary

Addresses

Primary practice location

1212 5TH Ave N
Humboldt, IA 50548-1105

Mailing address

1212 5TH Ave N
Humboldt, IA 50548-1105
Phone (515) 332-7900

National Provider Directory

National Provider Directory

Locations

1212 5th Ave N
Humboldt, IA 50548
Phone (515) 332-7900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1588952196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 5TH AVE N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481105",
            "telephone_number": "515-332-7900",
            "fax_number": "866-369-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 5TH AVE N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481105",
            "telephone_number": "515-332-7900",
            "fax_number": "866-369-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORT PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-16",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-332-7900",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IA",
            "license": "1455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.