Ms Penny Lorie Short, OTRL is a
Occupational Therapist based in Maiden, North Carolina. Ms Penny Lorie Short is licensed to practice in North Carolina (license number 6028) and her current practice location is
240 Hartzoge Ln, Maiden, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 736-5279.
NPI number for Ms Penny Lorie Short is 1942312871 and her current mailing address is 240 Hartzoge Ln, Maiden, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942312871.
Healthcare Provider's Profile
| Full Name | Ms Penny Lorie Short |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 240 Hartzoge Ln, Maiden, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1942312871
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/08/2016
Medical Identifiers
Medical identifiers for Ms Penny Lorie Short such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942312871 | NPI | - | NPPES |
| TH1697 | Medicaid | SC | |
| 721634 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 6028 (North Carolina) | 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. Ms Penny Lorie 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 |
|---|
Ms Penny Lorie Short, OTRL
240 Hartzoge Ln,
Maiden, NC 28650-8342
Ph: (704) 736-5279 | Ms Penny Lorie Short, OTRL
240 Hartzoge Ln,
Maiden, NC 28650-8342
Ph: (704) 736-5279 |
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