Craig Short, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0018224 Issued in CO

Practice address

480 Wolverine Dr Ste 5
Bayfield, CO 81122-9653

Phone

(970) 884-2956

NPI assigned

Mar 10, 2022

Last updated

Mar 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage Physical Therapy and Wellness, PCGroup PAC ID 1052399649, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advantage Physical Therapy & Wellness, PC

  • Physical Therapist
  • Durango, CO
  • NPI 1790850824
  Medicare reassignment Care Compare group NPD
• Pine River Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Bayfield, CO
  • NPI 1174910145
  Medicare reassignment NPD

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1811645633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 COUNTY ROAD 215",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813037841",
            "telephone_number": "970-317-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 WOLVERINE DR STE 5",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811229653",
            "telephone_number": "970-884-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "CRAIG",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "480 Wolverine Dr Ste 5",
            "city": "Bayfield",
            "state": "CO",
            "country_code": "US",
            "postal_code": "811229653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alison Heather Rhodes
• Brianne Mary Rhodus, MA, LPC, LMT
• Lars Michael Sande
• Andre Raymond Sarnow, RPT
• Rachel Shockley, LCSW
• Anthony Wayne Shurts, R.PH.
• Silver Fox Mental Health
• Ava L Smiley
• Dawn Solomon, CACII
• Jillian Sperling, LCSW

• Physical Therapist in Bayfield, CO
• Providers in Bayfield, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.