Active NPI
Lisa Marie Bettio, M.S.R.P.T.
- Physical Therapist
- Richmond Hill, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007195
- Practice address
- 8872 Ford Ave Ste 206
Richmond Hill, GA 31324-6092 - Phone
- (912) 312-2766
- NPI assigned
- Jul 15, 2005
- 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 | 007195 | GA | Primary |
Addresses
Primary practice location
8872 Ford Ave Ste 206
Richmond Hill, GA 31324-6092
Mailing address
8872 Ford Ave Ste 206
Richmond Hill, GA 31324-6092
Phone (912) 312-2766
Other practice location 1
1326 Eisenhower Dr
Savannah, GA 31406-3928
Phone (912) 691-4250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650025450 | Other | GA | RR MEDICARE |
| 853202 | Other | GA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100326000039 | GA | Practitioner - Physical Therapist in Private Practice | 7416083753 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007195 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Bettio Physical Therapy and Sport Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Privia Medical Group of Georgia LLC | Current | Accepting new patients |
Locations
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
8872 Ford Ave
Ste 206
Richmond Hill, GA 31324
Phone (912) 312-2766
1326 Eisenhower Dr
Savannah, GA 31406
Phone (912) 691-4100
1326 Eisenhower Dr
#1
Savannah, GA 31406
Phone (912) 691-4100
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Physical Therapist
- Richmond Hill, GA
- NPI 1952048605
GA, Physical Therapist
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8872 Ford Ave
Suite 206
Richmond Hill, GA 31324-6092
Phone (912) 547-5580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1699774356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8872 FORD AVE STE 206",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313246092",
"telephone_number": "912-312-2766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8872 FORD AVE STE 206",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313246092",
"telephone_number": "912-312-2766"
}
],
"practiceLocations": [
{
"address_1": "1326 Eisenhower Dr",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314063928",
"country_code": "US",
"telephone_number": "912-691-4250",
"fax_number": "912-691-4254",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BETTIO",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.S.R.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "007195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "650025450",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "853202",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.