Individual provider Active NPI

Carly Welch, PT, DPT

  • Physical Therapist
  • Loganville, GA
National Provider Identifier
1215420211
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013406 Issued in GA
Practice address
4743 Atlanta Hwy Ste 100
Loganville, GA 30052-2686
Phone
(770) 466-9343
Fax
(770) 466-9345
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013406 GA Primary

Addresses

Primary practice location

4743 Atlanta Hwy Ste 100
Loganville, GA 30052-2686

Mailing address

2400 Wisteria Dr Ste a
Snellville, GA 30078-2689
Phone (770) 982-0102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181029000417 GA Practitioner - Physical Therapist in Private Practice 2769735307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4743 Atlanta Hwy
Suite 100
Loganville, GA 30052-2686
Phone (770) 466-9343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT013406GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 4, 2023 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Jun 13, 2018 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Jun 13, 2018 Accepting new patients

Locations

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

5007 B U Bowman Dr
Buford, GA 30518
Phone (470) 780-5100

4743 Atlanta Hwy
Ste 100
Loganville, GA 30052
Phone (770) 466-9343

4220 Mundy Mill Pl
Ste 2B
Oakwood, GA 30566
Phone (678) 450-9933

2400 Wisteria Dr
Ste A
Snellville, GA 30078
Phone (770) 982-0102

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1215420211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WISTERIA DR STE A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782689",
            "telephone_number": "770-982-0102",
            "fax_number": "770-982-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 ATLANTA HWY STE 100",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522686",
            "telephone_number": "770-466-9343",
            "fax_number": "770-466-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "CARLY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.