Jacquelyn Lee Welch

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17527 Issued in MD

Practice address

844 Washington Rd Ste 101
Westminster, MD 21157-6664

Phone

(410) 876-5600

NPI assigned

Oct 31, 2011

Last updated

Mar 15, 2023By the provider in NPPES

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

• Jacquelyn Lee Ford Former name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maryland Sportscare & Rehab LLC

  dba Pivot Physical Therapy of Maryland

  • Physical Therapist
  • Westminster, MD
  • NPI 1518951995
  Medicare reassignment Care Compare group NPD
• Maryland Sportscare & Rehab, LLC

  dba Pivot Physical Therapy of Maryland

  • Physical Therapist
  • Westminster, MD
  • NPI 1720445174
  NPD

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1144506403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 PROGRESS WAY",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON RD STE 101",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576664",
            "telephone_number": "410-876-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 Progress Way",
            "address_purpose": "LOCATION",
            "city": "Eldersburg",
            "state": "MD",
            "postal_code": "217846464",
            "country_code": "US",
            "telephone_number": "443-544-0119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "JACQUELYN",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "FORD",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Weintraub & Kessler L.L.C.
• Weintraub and Kessler LLC (Washington Heights Opticians)
• Martin J Weintraub, M.D.
• Weis Markets Inc (Weis Pharmacy)
• Edward Drew Welch, LMT
• Morgan Weltman
• Ashley Wensil, PHARMD
• Marian West
• Westminster Active Day Center
• Westminster Dental

• Physical Therapist in Westminster, MD
• Providers in Westminster, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.