Carrie Shortridge, PTA, ATC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06001754A Issued in IN

Practice address

514 State Road 32 E
Westfield, IN 46074-8767

Phone

(877) 366-2663

Fax

(317) 867-7701

NPI assigned

Sep 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1760630313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358",
            "city": "TIPTON",
            "state": "IN",
            "postal_code": "460720358",
            "telephone_number": "765-675-8119",
            "fax_number": "765-675-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 STATE ROAD 32 E",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748767",
            "telephone_number": "877-366-2663",
            "fax_number": "317-867-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTRIDGE",
        "first_name": "CARRIE",
        "name_prefix": "Mrs.",
        "credential": "PTA, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06001754A",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36000474A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suketu P Shah
• Samantha Jo Sheehan
• Samtrina Shekpeh
• Dhavalkumar Hitendra Sheth
• Alaina Shinaver
• Stuti Shrivastava
• Jeni Anne Shull Clayton, M.D., M.P.H.
• Sarah Kathrynne Shults, NP
• Sarah Siao
• Josie Siegel

• Physical Therapy Assistant in Westfield, IN
• Providers in Westfield, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.