BETH SHELLY PHYSICAL THERAPY LLC (NPI# 1962973073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962973073 |
| Entity Type | Organization |
| Organization Name | BETH SHELLY PHYSICAL THERAPY LLC |
| Practice Address |
1634 Avenue of The Cities Moline IL 61265-4860 |
| Practice Telephone | 5639402481 |
| Mailing Telephone | 5639402481 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Authorized Official Name | BETH R SHELLY (PT, OWNER) |
| Authorized Official Telephone | 5639402481 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3319 Spring St, Davenport, IA 528072125 | 5639402481 |
| Street Address |
1634 AVENUE OF THE CITIES |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-4860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336128933 | Md Anesthesia Services Sc | Anesthesiology | 1634 Avenue of The Cities, Moline, IL 61265-4860 | 2006-01-11 |
| 1972902062 | Zacariah Shannon | Chiropractor | 1634 Avenue of The Cities, Moline, IL 61265-4860 | 2014-08-14 |
| 1780008300 | Liberty Anesthesia & Pain, Inc. | Anesthesiology | 1634 Avenue of The Cities, Moline, IL 61265-4860 | 2014-02-18 |
| 1073955977 | Anthony G Conrardy Md Sc | Anesthesiology | 1634 Avenue of The Cities, Moline, IL 61265-4860 | 2013-07-22 |
| 1073865291 | Great River Pain Center LLC | Pain Medicine | 1634 Avenue of The Cities, Moline, IL 61265-4860 | 2012-10-11 |
| 1053500553 | Il-iowa Psychiatry, LLC | Psychiatry & Neurology | 1634 Avenue of The Cities, Moline, IL 61265-4860 | 2007-10-19 |
| 1457577793 | Quad Cities Wellness and Rehabilitation Center, Ltd. | Chiropractor | 1634 Avenue of The Cities, Moline, IL 61265-4860 | 2007-04-17 |
| 1871502245 | Michael James Mcnulty | Chiropractor | 1634 Avenue of The Cities, Moline, IL 61265-4860 | 2006-08-05 |
| 1588624514 | Elizabeth R Shelly | Physical Therapist | 1634 Avenue of The Cities, Suite C, Moline, IL 61265-4860 | 2006-03-24 |
| 1861471229 | Sung S Kang | Anesthesiology | 1634 Avenue of The Cities, Moline, IL 61265-4860 | 2006-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659536456 | Occupational Health Centers of Illinois PC | Clinic/Center | 2430 River Dr, Moline, IL 61265-1564 | 2008-07-22 |
| 1669645743 | Occupational Health Centers of Illinois PC | Clinic/Center | 555 Valley View Drive, Moline, IL 61265-6138 | 2008-04-09 |
| 1588123988 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 900 43rd Ave, Moline, IL 61265-6906 | 2019-03-15 |
| 1619337292 | Advanced Physical Therapy Services Ltd | Clinic/Center | 1050 36th Ave, Moline, IL 61265-7126 | 2016-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
| 1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
| 1518573963 | Better Play Performance & Rehab Pllc | Clinic/Center | 1201 Waters Edge Rd, Champaign, IL 61822-8101 | 2020-09-21 |
| 1548876329 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 | 2020-09-17 |
| 1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
| 1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
| 1487263851 | Priority You Physical Therapy and Wellness Pllc | Clinic/Center | 2101 Alpine Way, Plainfield, IL 60586-5079 | 2020-07-30 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.