Ellen Welch, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00004474 Issued in GA

Practice address

540 Lake Center Pkwy
Ste 107
Cumming, GA 30040-7727

Phone

(770) 205-3939

Fax

(770) 205-4994

NPI assigned

Oct 28, 2008

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

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Champion Physical Therapy LLCGroup PAC ID 6800985417, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Champion Physical Therapy LLC

  • Physical Therapist
  • Cumming, GA
  • NPI 1053509299
  Medicare reassignment Care Compare group NPD
• BHBD LLC

  • Chiropractor
  • Cumming, GA
  • NPI 1487140893
  Medicare reassignment NPD
• Sportscare Physical Therapy Inc

  • Physical Therapist
  • Suwanee, GA
  • NPI 1962459883
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1104079771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 STALLION DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300407020",
            "telephone_number": "770-781-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LAKE CENTER PKWY",
            "address_2": "STE 107",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300407727",
            "telephone_number": "770-205-3939",
            "fax_number": "770-205-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "ELLEN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "00004474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M Webb, MHSOT
• Alexandra Withrow Weedy, M.A., BCBA
• Sheena Ciarra Weghorn, LPC
• Valerie Addington Weinberg, OTR.L
• Sara Judith Weirich, OT
• Karen Welch, PTA
• Wellborn Counseling, LLC
• Stephanie Evans Wellborn, PA-C
• Wellstreet of Georgia PC
• Wellstreet of Georgia PC

• Physical Therapist in Cumming, GA
• Providers in Cumming, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.