Active NPI
Isaac Short, OTD
- Occupational Therapist
- Abilene, TX
National Provider Identifier
1669797338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4048
- Practice address
- 4601 Hartford St
Abilene, TX 79605-4603 - Phone
- (940) 793-3400
- NPI assigned
- Apr 6, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4048 | TN | Primary |
Addresses
Primary practice location
4601 Hartford St
Abilene, TX 79605-4603
Mailing address
4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100507000601 | TX | Practitioner - Occupational Therapist in Private Practice | 4587792742 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The West Texas Rehabilitation Center | Current | Accepting new patients | |
| The West Texas Rehabilitation Center | Occupational Therapist | Current | Accepting new patients |
| The West Texas Rehabilitation Center | Current | Accepting new patients |
Locations
4601 Hartford St
Abilene, TX 79605
Phone (325) 793-3400
3001 S Jackson St
San Angelo, TX 76904
Phone (325) 223-6300
Organizations & group practices 3
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.
-
- Rehabilitation Clinic/Center
- Abilene, TX
- NPI 1922112499
Occupational Therapist, TX
-
- Community Based Hospice Care Agency
- San Angelo, TX
- NPI 1063911618
-
- Rehabilitation Clinic/Center
- San Angelo, TX
- NPI 1417086521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1669797338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 HARTFORD ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796054603",
"telephone_number": "325-793-3400",
"fax_number": "325-793-3587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 HARTFORD ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796054603",
"telephone_number": "940-793-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "ISAAC",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-06",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "4048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.