Dennis Drake Welling I, PT
Individual provider Active NPI Physical Therapist · Nashville, TN
NPI 1164531653 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164531653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 210 25TH Ave North
520
Nashville, TN 37203-1801 - Phone
- (615) 321-3215
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070316000470 | TN | Practitioner - Physical Therapist in Private Practice | 8325141070 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5591 | TN | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Current |
Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Physical Therapist | Current |
Accepting new patients |
| Select Physical Therapy Holdings Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Past | Accepting new patients |
Locations
9040 Carothers Pkwy
Ste A205
Franklin, TN 37067
Phone (615) 224-9590
1501 12th Ave S
Nashville, TN 37203
Phone (615) 269-3461
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
210 25TH Ave North
520
Nashville, TN 37203-1801
Mailing address
PO Box 218204
Nashville, TN 37221-8204
Phone (315) 646-3669
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5591 | Other | TN | LICENSE # |
Other providers in Nashville, TN
- Well Health & Chiropractic East Nashville, PLLC
- Ashley Wellander
- Wellassist, LLC
- Wellcare Transport LLC
- Kevin Anthony Wellen
- Wellington Provider Group PC
- Jennifer Marie Wellman
- Christina L. Wellmann
- Wellnash
- Wellness Ambulatory Care Inc.
All providers in Nashville, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.