Provider Demographics
NPI:1376564609
Name:BITNER, SHELLEY D (PT)
Entity Type:Individual
Prefix:
First Name:SHELLEY
Middle Name:D
Last Name:BITNER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:11 FLOWERS DR
Mailing Address - Street 2:STE 101
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-1714
Mailing Address - Country:US
Mailing Address - Phone:717-245-2341
Mailing Address - Fax:717-245-9672
Practice Address - Street 1:1 TYLER CT
Practice Address - Street 2:SUITE 200
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-7913
Practice Address - Country:US
Practice Address - Phone:717-245-2341
Practice Address - Fax:717-245-9672
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT005267L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA506259OtherBLUE SHIELD
PA394521Medicare ID - Type UnspecifiedMEDICARE
PA396838Medicare Oscar/Certification