Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Casey Shortt, PTA

Individual provider Physical Therapy Assistant · NPI 1417641291

Casey Shortt, PTA is a Physical Therapy Assistant in South Lyon, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

51635 10 Mile Rd
South Lyon, MI 48178-9720
Phone: (248) 278-1072
Fax: (248) 278-1073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502008340 (MI)

Record details

NPI number1417641291
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 6, 2023
Last updated in NPPESJune 6, 2023
Certification dateJune 6, 2023
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

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