Individual provider Active NPI

Joshua Kyle Welch, PT,DPT

  • Physical Therapist
  • Towson, MD
National Provider Identifier
1013497551
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27116 Issued in MD
Practice address
7402 York Rd
Suite 104
Towson, MD 21204-7519
Phone
(410) 260-3931
Fax
(410) 560-0877
NPI assigned
Aug 15, 2018
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27116 MD Primary

Addresses

Primary practice location

7402 York Rd
Suite 104
Towson, MD 21204-7519

Mailing address

7402 York Rd
Suite 104
Towson, MD 21204-7519
Phone (410) 260-3931

Other identifiers 1

IdentifierTypeStateIssuer
1780658344OtherMDGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180912001362 MD Practitioner - Physical Therapist in Private Practice 7113277146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conrad and Renzi, P.a.Group PAC ID 4688639727, 6 clinicians

Practice addresses (Care Compare)

9 Park Ctr CT
Suite 130
Owings Mills, MD 21117-5623
Phone (240) 249-3415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27116MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Conrad & Renzi, P.a. Physical Therapist CurrentSince Aug 15, 2018 Accepting new patients
Conrad & Renzi, P.a. PastSince Aug 15, 2018 Accepting new patients

Locations

9 Park Center Ct
Ste 130
Owings Mills, MD 21117
Phone (240) 249-3415

1920 Greenspring Dr
Ste 100
Timonium, MD 21093
Phone (410) 560-3931

7402 York Rd
Ste 104
Towson, MD 21204
Phone (410) 560-3931

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1013497551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 YORK RD",
            "address_2": "SUITE 104",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047519",
            "telephone_number": "410-260-3931",
            "fax_number": "410-560-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 YORK RD",
            "address_2": "SUITE 104",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047519",
            "telephone_number": "410-260-3931",
            "fax_number": "410-560-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "JOSHUA",
        "middle_name": "KYLE",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1780658344",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.