Katharine Short, PT, DPT | |
414 N Main St, Opp, AL 36467-1607 | |
(256) 350-1764 | |
Not Available |
Full Name | Katharine Short |
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Gender | Female |
Speciality | Physical Therapist |
Location | 414 N Main St, Opp, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679123525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTH9553 (Alabama) | Primary |
Provider Name | Encore Rehabilitation, Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1003819608 PECOS PAC ID: 3577462126 Enrollment ID: O20051103001194 |
Mailing Address | Practice Location Address |
---|---|
Katharine Short, PT, DPT 251 Johnston St Se Ste 200, Decatur, AL 35601-2515 Ph: (256) 350-1764 | Katharine Short, PT, DPT 414 N Main St, Opp, AL 36467-1607 Ph: (256) 350-1764 |
Kennith Scott Mount, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 S Whaley St, Opp, AL 36467 Phone: 334-493-4555 | |
Mr. Frank Elliott Daugherty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 S Whaley St, Opp, AL 36467 Phone: 334-493-4555 Fax: 334-493-7449 | |
Mrs. Janice Alangwawi Tabios, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19870 Country Estates Ln Lot 12, Opp, AL 36467 Phone: 334-531-6955 |