Mr Thomas Ryan Short, LPTA, LMT is a
Physical Therapy Assistant based in Woodbridge, Virginia. Mr Thomas Ryan Short is licensed to practice in Virginia (license number 2306605845) and his current practice location is
1936 Opitz Blvd Ste A, Woodbridge, Virginia. He can be reached at his office (for appointments etc.) via phone at
(540) 841-4443.
NPI number for Mr Thomas Ryan Short is 1093395394 and his current mailing address is 4060 Westwind Dr, Woodbridge, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093395394.
Healthcare Provider's Profile
Full Name | Mr Thomas Ryan Short |
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Gender | Male |
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Speciality | Physical Therapy Assistant |
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Location | 1936 Opitz Blvd Ste A, Woodbridge, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093395394
- Provider Enumeration Date: 04/11/2021
- Last Update Date: 04/11/2021
Medical Identifiers
Medical identifiers for Mr Thomas Ryan Short such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093395394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 0019011669 (Virginia) | Secondary |
225200000X | Physical Therapy Assistant | 2306605845 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Thomas Ryan Short is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Thomas Ryan Short, LPTA, LMT 4060 Westwind Dr, Woodbridge, VA 22193-5168 Ph: (703) 927-5395 | Mr Thomas Ryan Short, LPTA, LMT 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 Ph: (540) 841-4443 |
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