Active NPI
Lori B Betts, MPT
- Physical Therapist
- Adel, GA
National Provider Identifier
1386846558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006976
- Practice address
- 510 N Parrish Ave
Adel, GA 31620-2036 - Phone
- (229) 896-2797
- Fax
- (229) 896-1629
- NPI assigned
- Jun 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT006976 | GA | Primary |
Addresses
Primary practice location
510 N Parrish Ave
Adel, GA 31620-2036
Mailing address
PO Box 74
Sparks, GA 31647-0074
Phone (229) 896-2797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040920000471 | GA | Practitioner - Physical Therapist in Private Practice | 2860460714 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Medical College of Georgia School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
510 N Parrish Ave
Adel, GA 31620-2036
Phone (229) 896-2797
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006976 | GA | MD | Chiropractor |
| PT006976 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County Therapy Inc, | Current | Accepting new patients |
Locations
510 N Parrish Ave
Adel, GA 31620
Phone (229) 388-6459
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386846558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74",
"city": "SPARKS",
"state": "GA",
"postal_code": "316470074",
"telephone_number": "229-896-2797",
"fax_number": "229-896-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 N PARRISH AVE",
"city": "ADEL",
"state": "GA",
"postal_code": "316202036",
"telephone_number": "229-896-2797",
"fax_number": "229-896-1629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTS",
"first_name": "LORI",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT006976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Adel, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.