Breanna Lee Raymer Welsh, P.T., D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

292999 Issued in CA

Practice address

25495 Medical Center Dr Ste 304
Murrieta, CA 92562

Phone

(951) 696-7474

Fax

(951) 696-7575

NPI assigned

Nov 11, 2017

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

• Breanna Lee Raymer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1510358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1013420140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26589 EVERGREEN AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634044",
            "telephone_number": "909-327-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25495 MEDICAL CENTER DR STE 304",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-696-7474",
            "fax_number": "951-696-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSH",
        "first_name": "BREANNA",
        "middle_name": "LEE RAYMER",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-11",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "RAYMER",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Wellcome
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• Wellqor Psychological Services of California, PC
• Joseph S Wells, D.P.M.
• Theron Charles Wells, MD
• Caitlin Welsh
• Shane Wesley
• Amanda Nicole Wesper, PHARMD
• West Coast Recovery Center LLC
• West Coast Surgical Specialists

• Physical Therapist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.