ANDREW SHORT (DPT) – Physical Therapist, NPI 1093354938

ANDREW SHORT (DPT) is a healthcare provider. based in Doniphan, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PTL.0017992 (CO). The NPI Number for ANDREW SHORT (DPT) is 1093354938

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW SHORT (DPT)
NPI
1093354938
Phone
(573) 776-0702
Address
379 RIPLEY 160E-12
Enumeration Date
23 December 2019
Last Update Date
15 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7203169974
Graduation Year
2019 (7 years ago)
PAC ID
0840625372
Group Practice PAC ID
0941552863
Professional Enrollment ID
I20211118000211
Address ID
CO809213959CO11665DRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for ANDREW SHORT (DPT)

  • 379 RIPLEY 160E-12

    DONIPHAN, MO 639359866

    Phone: (573) 776-0702

    Type: Mailing

  • 3301 BERRYWOOD DR STE 204

    COLUMBIA, MO 652016517

    Phone: (573) 776-0702

    Type: Location

  • 5025 SLICKROCK DR

    COLORADO SPRINGS, CO 809237680

    Phone: (573) 776-0702

    Type: Mailing

  • 5643 N ACADEMY BLVD

    COLORADO SPRINGS, CO 809183658

    Phone: (720) 316-9974

    Fax: (720) 294-0332

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211118000211IPhysical Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities95074$0
97140Therapy procedure using manual technique, each 15 minutes73769$0
97113Therapy procedure using water pool to exercises, each 15 minutes36129$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes13323$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes8918$0
View full utilization report →

Insurance plans in this area (ZIP 63935)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941552863View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
-CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeAL

Reviews

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Frequently asked questions

How do payers reference ANDREW SHORT (DPT)?
For ANDREW SHORT (DPT), use NPI 1093354938 as the unique 10-digit identifier.
Active or inactive — what applies to ANDREW SHORT (DPT)?
You should see ANDREW SHORT (DPT) as active in CMS-hosted NPPES data.
What kind of doctor is ANDREW SHORT (DPT)?
ANDREW SHORT (DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is ANDREW SHORT (DPT) located near Doniphan?
ANDREW SHORT (DPT) currently maps to Doniphan, Missouri in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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