Beth Shelly Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BETH SHELLY PHYSICAL THERAPY LLC

Practice address

1634 Avenue of the Cities
Moline, IL 61265-4860

Phone

(563) 940-2481

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Beth R Shelly

Title

PT, Owner

Phone

(563) 940-2481

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth R Shelly, PT

  • Physical Therapist
  • Moline, IL
  • NPI 1588624514

  IA

  Medicare reassignment NPD

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1962973073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 AVENUE OF THE CITIES",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654860",
            "telephone_number": "563-940-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 AVENUE OF THE CITIES",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654860",
            "telephone_number": "563-940-2481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3319 Spring St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528072125",
            "country_code": "US",
            "telephone_number": "563-940-2481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BETH SHELLY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "SHELLY",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PT, OWNER",
        "authorized_official_telephone_number": "563-940-2481"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Berry, D.C.
• Michael Richard Berry, MD
• Matthew J Berst, M.D.
• Chantelle G Bessler, CSFA
• Best Smiles Family Dental, LLC
• Bethany for Children & Families
• Bethany for Children & Families
• Bethany for Children & Families
• Ravinder Pal Singh Bhatti, M.D.
• Tracy L Bier, APRN-FNP-BC

• Physical Therapy Clinic/Center in Moline, IL
• Providers in Moline, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.