Karen Short
Individual provider Active NPI Occupational Therapist · Gate City, VA
NPI 1851718795 · NPPES record last updated Mar 27, 2014
Key facts
- NPI
- 1851718795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0119003367 (VA)
- Practice address
- 389 Kane Street
Gate City, VA 24251 - Phone
- (276) 386-2424
- Fax
- (276) 386-2349
- NPI assigned
- Mar 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119003367 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Innovations Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119003367 | VA | Yes |
Addresses
Primary practice location
389 Kane Street
Gate City, VA 24251
Mailing address
PO Box 1807
389 Kane Street
Gate City, VA 24251-4807
Phone (276) 386-2424
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119003367 | Other | VA | VIRGINIA LICENSE |
Other providers in Gate City, VA
- Lisa Y Salyer
- Judy T Sanders
- Scott County Dental Clinic
- Scott County Life Saving & First Aid Crew Inc
- Scott County Schools
- Brack Edward Slate
- Andrew Christopher Harrison Slemp
- Katrina Rhenea Smith-Toole
- Betty Kimbler Smith
- Kellie Dorton Smith
All providers in Gate City, VA · Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.