Active NPI
Steven John Short, SLP
- Speech-Language Pathologist
- Great Falls, MT
National Provider Identifier
1962624726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 682
- Practice address
- 1500 32ND St S
Great Falls, MT 59405-5300 - Phone
- (406) 761-4300
- Fax
- (406) 761-8882
- NPI assigned
- May 2, 2007
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 682 | MT | Primary |
Addresses
Primary practice location
1500 32ND St S
Great Falls, MT 59405-5300
Mailing address
1500 32ND St S
Great Falls, MT 59405-5300
Phone (406) 761-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 682 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 682 | MT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962624726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 32ND ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055300",
"telephone_number": "406-761-4300",
"fax_number": "406-761-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 32ND ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055300",
"telephone_number": "406-761-4300",
"fax_number": "406-761-8882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "STEVEN",
"middle_name": "JOHN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "682",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.