Shelby A Bettano, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4559 Issued in NH

Practice address

6 Tsienneto Rd Ste 201
Derry, NH 03038-1584

Phone

(603) 421-9959

NPI assigned

Aug 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelby Coffey Former name

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Coppola Physical Therapy and Fitness Gym LLCGroup PAC ID 0345393302, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Coppola Physical Therapy and Fitness Gym LLC

  • Physical Therapy Clinic/Center
  • Candia, NH
  • NPI 1346481561

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Coppola Physical Therapy Ferry

  • Physical Therapist
  • Concord, NH
  • NPI 1982988192
  NPD (past)

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1972159473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 W RIVER DR APT 24",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031041913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD STE 201",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-421-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTANO",
        "first_name": "SHELBY",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "COFFEY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gordon Bennett Jr.
• Valerie Bercier, MS, RD
• Bergeron Chiropractic
• Suzanne T Berlin, DO
• Susan Bernard, RN
• Alexander Keith Beyer, DPT
• Harneesh Bhattacharjee, SLP
• Sugata Bhattacharjee, AUD
• Sonia Bhojwani, OTR/L
• Joanne Bickford, MLADC, LCMHC

• Physical Therapist in Derry, NH
• Providers in Derry, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.

Verify at the official NPI Registry.