MRS. MARTHA SHORT (NPI# 1215021555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215021555 |
| Entity Type | Individual |
| Full Name | MRS. MARTHA SHORT |
| Credential | ATC, LAT |
| Practice Address |
2620 Blanding Blvd Suite 28 Middleburg FL 32068-5185 |
| Mailing Address |
1011 Orangewood Rd Jacksonville FL 32259-3160 |
| Practice Telephone | 9042828640 |
| Practice Fax Number | 9042828696 |
| Mailing Telephone | 9042874649 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL1270 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477697530 | Martha Anne Short | Counselor | 1585 S D St, San Bernardino, CA 92408-3257 | 2007-02-20 |
| 1568526507 | Martha L Short | Physician Assistant | 550 17th Ave, Ste 500, Seattle, WA 98122-5788 | 2006-12-21 |
| 1811991250 | Martha J Short | Internal Medicine | 1414 W Fair Ave, Ste 201, Marquette, MI 49855-5406 | 2005-06-13 |
| Street Address |
2620 BLANDING BLVD SUITE 28 |
| City | MIDDLEBURG |
| State | FL |
| Zip Code | 32068-5185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084174 | Christopher Littles | Technician | 3122 Angora Bay Dr, Middleburg, FL 32068 | 2018-12-16 |
| 1730685157 | Children's Express Care Clinic | Pediatrics | 430 College Drive, Suite 100-102, Middleburg, FL 32068 | 2018-04-04 |
| 1588162762 | Lp Sw Jacksonville, LLC | Skilled Nursing Facility | 1280 Henley Road, Middleburg, FL 32068 | 2018-01-23 |
| 1396264982 | Michael Jessie Visita Roberts | Physical Therapy Assistant | 1648 St. Vincents Way, 100b, Middleburg, FL 32068 | 2017-09-14 |
| 1093239915 | Kevia Hart | In Home Supportive Care | 2718 Tina Lane, Middleburg, FL 32068 | 2017-08-02 |
| 1366899825 | Serena Burr | Midwife | 1986 Friendly Pl, Middleburg, FL 32068 | 2016-05-15 |
| 1932573672 | Jamie Dietrich | Physical Therapist | 2583-3 County Road 220, Middleburg, FL 32068 | 2015-11-18 |
| 1154791614 | Katherine Wenger | Physical Therapist | 2580-3 Country Road 220, Suite 3, Middleburg, FL 32068 | 2015-09-28 |
| 1699024240 | Amanda Copeland | Speech-Language Pathologist | 2823 Woodstone Dr., Middleburg, FL 32068 | 2012-08-29 |
| 1194089243 | Good Samaritan Home Companion Services, Inc. | In Home Supportive Care | 3689 Main Street, Middleburg, FL 32068 | 2012-07-03 |
| Find all providers in zip 32068 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093206369 | Kourtney Thomas | Specialist/Technologist | 3141 Nautilus Rd, Middleburg, FL 32068-6608 | 2018-05-22 |
| 1104843820 | Tami L. Eiswerth | Specialist/Technologist | 540 E Main St, Middleburg, PA 17842-1218 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597560 | Hannah Ogle | Specialist/Technologist | 110 Gloria Drive, Hollister, FL 32147 | 2020-10-30 |
| 1740889377 | Ryan Michael Hill | Specialist/Technologist | 314 S Habana Ave, Tampa, FL 33609-3223 | 2020-10-24 |
| 1568061182 | Lester Vivian Leon Ferdinand | Specialist/Technologist | 6705 S Red Rd Ste 410, South Miami, FL 33143-3644 | 2020-10-24 |
| 1770182651 | Sarah Danielle Combs | Specialist/Technologist | 4521 Lenmore Street, Orlando, FL 32812 | 2020-10-21 |
| 1679170369 | David S Duchin | Specialist/Technologist | 19033 Nw 23rd Ct, Pembroke Pines, FL 33029-5337 | 2020-10-06 |
| 1750988838 | Jade Shields | Specialist/Technologist | 144 Enrede Ln, Saint Augustine, FL 32095-7436 | 2020-10-02 |
| 1639786940 | Dewayne N Dubose | Specialist/Technologist | 344 Chesham St, Ormond Beach, FL 32174-0692 | 2020-09-30 |
| 1467069914 | Alison M Dougan | Specialist/Technologist | 3345 Cypress Legends Cir Apt 1104, Fort Myers, FL 33905-5542 | 2020-09-29 |
| 1225643240 | Megan Marisa Fox | Specialist/Technologist | 5803 Marta Dr, Tampa, FL 33617-1125 | 2020-09-15 |
| 1104430305 | Nikki Page Keown | Specialist/Technologist | 12136 Luftburrow Ln, Hudson, FL 34669-5005 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURG |
| Zip Code | 32068 |
Please comment or provide details below to improve the information on MRS. MARTHA SHORT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.