Amy Nichols Welch, PT

Individual provider Active NPI Physical Therapist · Springtown, TX

NPI 1124240528 · NPPES record last updated Apr 20, 2022

Key facts

NPI
1124240528
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1123487 (TX)
Practice address
407 Old Springtown Rd
114
Springtown, TX 76082-2773
Phone
(817) 220-6677
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 5

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1123487TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportherapy LLC Physical Therapist Current
since Jul 2, 2022
Accepting new patients
Dr Pepper Physical Therapy LLC Physical Therapist Current
since Sep 1, 2020
Accepting new patients
Moss Rehabilitation Center, LLP Physical Therapist Past
since May 1, 2006
Accepting new patients
Sportherapy Southwest, PC Physical Therapist Past
since Jul 2, 2022
Accepting new patients
Stephenville Sports Rehab & Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

437 SW Wilshire Blvd
Ste B
Burleson, TX 76028
Phone (817) 904-5070

11909 Preston Rd
Ste 1482
Dallas, TX 75230
Phone (214) 446-1601

4108 Boat Club Rd
Lake Worth, TX 76135
Phone (817) 238-9295

167 Regency Pkwy
Ste 105
Mansfield, TX 76063
Phone (682) 341-0076

965 Hilltop Dr
Weatherford, TX 76086
Phone (817) 370-9891

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1123487 TX
Physical Therapist 225100000X 1123487 TX Yes

Addresses

Primary practice location

407 Old Springtown Rd
114
Springtown, TX 76082-2773

Mailing address

2601 Glen Ranch Dr
Burleson, TX 76028-6310
Phone (817) 447-9318

Other providers in Springtown, TX

All providers in Springtown, TX · Physical Therapist in Texas

Sources for this page

Verify at the official NPI Registry.