Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kerry L Conway Short, DPT, ATC

Individual provider Athletic Trainer · NPI 1417111816

Kerry L Conway Short, DPT, ATC is an Athletic Trainer in Fairfax, Virginia. Licensed in Colorado and Virginia. Registered with an NPI since 2008.

Licensed in
CO, VA
In the registry since
2008
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4375 Fair Lakes Ct
Fairfax, VA 22033-4234
Phone: (571) 432-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTL-10528 (CO)
Athletic Trainer Taxonomy 2255A2300X · Licence 0126002535 (VA)
Athletic Trainer Taxonomy 2255A2300X · Licence AT-794 (CO)

Record details

NPI number1417111816
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , ATC
Sole proprietorNo
NPI enumeratedJuly 15, 2008
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024

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