Individual provider Active NPI

Laurel Jean Welch, P.T., HPCS

  • Physical Therapist
  • Rehoboth, MA
National Provider Identifier
1134306889
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4053 Issued in MA
Practice address
55 Summer Street
Rehoboth, MA 02769
Phone
(508) 252-5814
NPI assigned
Jan 24, 2008
Last updated
Jan 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4053 MA Primary
Physical Therapist 225100000X PT00723 RI

Addresses

Primary practice location

55 Summer Street
Rehoboth, MA 02769

Mailing address

276 Wallum Lake Road
Douglas, MA 01516
Phone (508) 476-3966

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT00723RIMDPhysical Therapist
4053MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenlock Therapeutic Riding Center Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1134306889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 WALLUM LAKE ROAD",
            "city": "DOUGLAS",
            "state": "MA",
            "postal_code": "01516",
            "telephone_number": "508-476-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SUMMER STREET",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "02769",
            "telephone_number": "508-252-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "LAUREL",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "P.T., HPCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "4053",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT00723",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.