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

Kristi Short

Individual provider Speech-Language Pathologist · NPI 1417550658

Kristi Short is a Qualified Speech Language Pathologist in Kokomo, Indiana. Qualified in 1990, 36 years ago. Practices with Elite Therapy Corp, a 13-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
36
Licensed in
IN
In the registry since
2020

Practice location Address checks out

2312 S Dixon Rd Ste 250
Kokomo, IN 46902-6426
Phone: (765) 459-7275
Fax: (800) 805-4620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 22002215A (IN)

Record details

NPI number1417550658
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 19, 2020
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020
Mailing address2925 Bagley Dr W, Kokomo, IN 46902-3256

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Elite Therapy Corp — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kokomo