Melanie Renee Shortridge, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

39111 Issued in CA

Practice address

4891 Ronson CT Ste I
San Diego, CA 92111-1815

Phone

(858) 752-0500

NPI assigned

Jul 23, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Advanced Physical Therapy of Laguna-Viejo a Professional Corpor

  • Physical Therapist
  • Mission Viejo, CA
  • NPI 1659452829
  NPD

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1639424922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4891 RONSON CT STE I",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111815",
            "telephone_number": "858-752-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4891 RONSON CT STE I",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111815",
            "telephone_number": "858-752-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTRIDGE",
        "first_name": "MELANIE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Short, RN
• Tara Short
• Tyler Kent Short, MD
• Amber Lea Shorter
• Lydia Charlotte Shorthill, LMFT
• Taylor August Shorts, PMHNP-BC
• Daelynn Shoto
• Tara Olivia Shotz
• Terry Dwayne Shoulders, IDC
• Peggy L. Shoval, MD

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2023; 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.