Individual provider Active NPI

Ellen Marie Betley, LPN COFM CFTS COF CP

  • Pedorthist
  • Norristown, PA
National Provider Identifier
1013304930
Registry record updated Apr 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
License
PD000007 Issued in PA
Practice address
119 Hilltop Ave
Norristown, PA 19401-1333
Phone
(610) 766-1246
Fax
(610) 292-8872
NPI assigned
Apr 17, 2015
Last updated
Apr 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN078185L PA
Orthotic Fitter 225000000X OF000008 PA
Pedorthist 224L00000X PD000007 PA Primary

Addresses

Primary practice location

119 Hilltop Ave
Norristown, PA 19401-1333

Mailing address

119 Hilltop Ave
Norristown, PA 19401-1333
Phone (610) 766-1246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN078185LPAMDLicensed Practical Nurse
PD000007PAMDPedorthist
OF000008PAMDOrthotic Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Emb Restorative Care, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429315200000",
    "number": "1013304930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HILLTOP AVE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194011333",
            "telephone_number": "610-766-1246",
            "fax_number": "610-292-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HILLTOP AVE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194011333",
            "telephone_number": "610-766-1246",
            "fax_number": "610-292-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETLEY",
        "first_name": "ELLEN",
        "middle_name": "MARIE",
        "credential": "LPN COFM CFTS COF CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN078185L",
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "PA",
            "license": "OF000008",
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "PA",
            "license": "PD000007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.